Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 1400 | TX |
NPI | 1063473254 |
---|---|
Provider Name | Mr. Caesar A Zuniga |
First Address | El Paso, TX 79912-6104 |
Second Address | El Paso, TX 79912-6104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 02/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1400 | TX DPM LICENSE (01) | TX |
U75559 | (02) | TX |