Doctor Name: | JOHN J ZAVALETA |
NPI Number: | 1023038155 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G0320 |
Business Practice Address: | 3501 N Macarthur Blvd Ste 350 Irving, TX - 750623636 |
Business Phone Number: | 9722575300 |
Business Fax Number: | 9722575321 |
Mailing Address: | 3501 N Macarthur Blvd, Ste 350 IRVING |
State: | TX |
Postal Code: | 750623636 |
Phone Number: | 9722575300 |
Fax Number: | 9722575321 |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | G0320 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |