Provider Demographics
NPI:1245329549
Name:ZAMPIERI, JOAN BAKER (PA-C)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:BAKER
Last Name:ZAMPIERI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MRS
Other - First Name:JOAN
Other - Middle Name:B
Other - Last Name:ZAMPIERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:PO BOX 4439
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4439
Mailing Address - Country:US
Mailing Address - Phone:713-792-2991
Mailing Address - Fax:
Practice Address - Street 1:1515 HOLCOMBE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4009
Practice Address - Country:US
Practice Address - Phone:713-792-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA03151363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1245329549OtherBLUE CROSS BLUE SHIELD
TX180977402Medicaid
TX180977403Medicaid
TX8N3624OtherBLUE CROSS BLUE SHIELD
TX180977406Medicaid
TX180977403Medicaid
TX180977402Medicaid
TXTXB115225Medicare PIN