Provider Demographics
NPI:1255938916
Name:ZAVERA MCDONALD FNP, PLLC
Entity type:Organization
Organization Name:ZAVERA MCDONALD FNP, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZAVERA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:281-865-9751
Mailing Address - Street 1:1610 JAMES BOWIE DR STE B107
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-3367
Mailing Address - Country:US
Mailing Address - Phone:281-839-7899
Mailing Address - Fax:281-519-1838
Practice Address - Street 1:1610 JAMES BOWIE DR STE B107
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-3367
Practice Address - Country:US
Practice Address - Phone:281-839-7899
Practice Address - Fax:281-519-1838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty