Organization
MARIO ZAPATA, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO G ZAPATA M.D. (OWNER)
(704) 883-8762
Entity
Organization
Contact information
Practice address
515 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 883-8762
(704) 883-8661
Mailing address
515 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 883-8762
(704) 883-8661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20020086
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900106
—
NC
Enumeration date
12/19/2008
Last updated
09/21/2012
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