Doctor Name: | SOCRATES ZAPATA-CAMPUSANO |
NPI Number: | 1013083112 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD026638 |
Business Practice Address: | 15813 Paul Vega Md Dr Suite 400 Hammond, LA - 704031426 |
Business Phone Number: | 9852307525 |
Business Fax Number: | 9852307535 |
Mailing Address: | Po Box 3087, HAMMOND |
State: | LA |
Postal Code: | 704043087 |
Phone Number: | 9853707853 |
Fax Number: | 9852307409 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 11/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | MD026638 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |