Provider Demographics
NPI:1013988336
Name:ZAPALAC, JEFFREY S (MD, FACS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:S
Last Name:ZAPALAC
Suffix:
Gender:M
Credentials:MD, FACS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3705 MEDICAL PKWY
Mailing Address - Street 2:SUITE 310
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1019
Mailing Address - Country:US
Mailing Address - Phone:512-458-6391
Mailing Address - Fax:512-390-4091
Practice Address - Street 1:3705 MEDICAL PKWY
Practice Address - Street 2:SUITE 310
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1019
Practice Address - Country:US
Practice Address - Phone:512-458-6391
Practice Address - Fax:512-390-4091
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK3045207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5789479OtherAETNA
TX8F8780OtherBCBS
TX150239501Medicaid
TX8F8780Medicare PIN
TXH56154Medicare UPIN