Basic Information
Provider Information
NPI: 1669461778
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAPATA
FirstName: MARIA-ISABEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3033 CAMPUS DR STE W225
Address2:  
City: PLYMOUTH
State: MN
PostalCode: 554412752
CountryCode: US
TelephoneNumber: 8009976196
FaxNumber:  
Practice Location
Address1: 2810 ASHWOOD ST
Address2:  
City: HOUSTON
State: TX
PostalCode: 770253208
CountryCode: US
TelephoneNumber: 8009976196
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/20/2005
LastUpdateDate: 05/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XME93748FLN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000XE-13514ARN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X66613CTN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X54430KYN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X324398LAN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X164978AKN Allopathic & Osteopathic PhysiciansFamily Medicine 
207Q00000X2020030183MON Allopathic & Osteopathic PhysiciansFamily Medicine 
207QA0505XK9000TXY Allopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine

No ID Information.


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