ZAPATA MEDICAL CLINIC NPI 1093982290

NPI Information

NPI: 1093982290
Provider Name: ZAPATA MEDICAL CLINIC

Other Name: PHYNET, INC.

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
316 N HENDERSON BLVD
STE A
KILGORE, TX
ZIP 75662
Phone: (903) 984-2145
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ZAPATA MEDICAL CLINIC is a health service clinic center in Kilgore, TX. ZAPATA MEDICAL CLINIC NPI is 1093982290. The provider is registered as an organization entity type.
The provider Other Name Is Phynet, Inc..

The provider's business location address is:

316 N HENDERSON BLVD
STE A
KILGORE, TX
ZIP 75662-712
Phone: (903) 984-2145
Fax: (903) 984-8361

The provider's authorized official is John D. Ford .
The authorized official title is President and has the following contact phone number (903) 247-0484.

The CLIA number assigned to this NPI record is 45D2174312 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 2/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00468V	MEDICARE PIN	TEXAS
2	159694201	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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