Provider Demographics
NPI:1184998197
Name:ZAVALA-CARRAWAY, VERONICA RENEE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:RENEE
Last Name:ZAVALA-CARRAWAY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1719 MAGNOLIA BND
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77523-9815
Mailing Address - Country:US
Mailing Address - Phone:361-816-3594
Mailing Address - Fax:
Practice Address - Street 1:5402 E SAM HOUSTON PKWY N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-3267
Practice Address - Country:US
Practice Address - Phone:281-457-6535
Practice Address - Fax:281-457-6409
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA07688363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant