Individual
JUAN JOSE ZAVALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3765 S ALAMEDA ST STE 251, CORPUS CHRISTI, TX 78411-1655
(361) 937-7887
Mailing address
6534 MACARENA DR, CORPUS CHRISTI, TX 78414-6447
(210) 429-2555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
929097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
929097
RN
TX
Enumeration date
09/20/2019
Last updated
09/20/2019
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