Provider Demographics
NPI:1023606530
Name:ZONUM SURGICAL ASSISTING
Entity type:Organization
Organization Name:ZONUM SURGICAL ASSISTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LSA
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-778-6927
Mailing Address - Street 1:PO BOX 1631
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-0016
Mailing Address - Country:US
Mailing Address - Phone:956-778-6927
Mailing Address - Fax:
Practice Address - Street 1:416 E 18TH ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-8032
Practice Address - Country:US
Practice Address - Phone:956-778-6927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-10
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty