Provider Demographics
NPI:1255739603
Name:LOUIS E. ZUNIGA PT PC
Entity type:Organization
Organization Name:LOUIS E. ZUNIGA PT PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZUNIGA
Authorized Official - Suffix:
Authorized Official - Credentials:PT DPT
Authorized Official - Phone:915-593-4985
Mailing Address - Street 1:4646 N MESA ST
Mailing Address - Street 2:STE D
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-6104
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4646 N MESA ST
Practice Address - Street 2:STE D
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6104
Practice Address - Country:US
Practice Address - Phone:915-532-3707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOUIS E. ZUNIGA PT PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-17
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty