Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | MD204385 | LA |
NPI | 1083855050 |
---|---|
Provider Name | Dr. Nicolas Zea |
First Address | Metairie, LA 70006-1218 |
Second Address | Austin, TX 78756-4010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2009 |
Last Update Date | 11/08/2021 |