Jesus A Zavaleta Jr Md Pa | |
204 W Nolana Mcallen TX 78504-2513 | |
(956) 687-9554 | |
(956) 687-9556 |
Full Name | Jesus A Zavaleta Jr Md Pa |
---|---|
Speciality | Family Medicine |
Location | 204 W Nolana, Mcallen, Texas |
Authorized Official Name and Position | Jesus A Zavaleta (PRESIDENT) |
Authorized Official Contact | 9566879554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jesus A Zavaleta Jr Md Pa 204 W Nolana Mcallen TX 78504-2513 Ph: (956) 687-9554 | Jesus A Zavaleta Jr Md Pa 204 W Nolana Mcallen TX 78504-2513 Ph: (956) 687-9554 |
NPI Number | 1689985665 |
---|---|
Provider Enumeration Date | 06/24/2010 |
Last Update Date | 06/24/2010 |
Medicare PECOS PAC ID | 4082745088 |
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Medicare Enrollment ID | O20100707000375 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689985665 | NPI | - | NPPES |
035217101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F2141 (Texas) | Primary |
Provider Name | Jesus A Zavaleta |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023010683 PECOS PAC ID: 8426189424 Enrollment ID: I20100707000399 |
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