Provider Demographics
NPI:1467288910
Name:ZAPATAENDO PLLC
Entity type:Organization
Organization Name:ZAPATAENDO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:SCHUH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:520-991-9061
Mailing Address - Street 1:2870 N CAMINO DE OESTE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-9201
Mailing Address - Country:US
Mailing Address - Phone:520-991-9061
Mailing Address - Fax:
Practice Address - Street 1:1821 N TREKELL RD STE 6
Practice Address - Street 2:
Practice Address - City:CASA GRANDE
Practice Address - State:AZ
Practice Address - Zip Code:85122-1705
Practice Address - Country:US
Practice Address - Phone:520-552-6446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental