Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | K3045 | TX |
NPI | 1013988336 |
---|---|
Provider Name | Dr. Jeffrey S Zapalac |
First Address | Austin, TX 78705-1019 |
Second Address | Austin, TX 78705-1019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 22/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
150239501 | (05) | TX |
5789479 | AETNA (01) | TX |
8F8780 | BCBS (01) | TX |
H56154 | (02) | TX |