1326044306 NPI number — SCOTT A ZELA ANP

Table of content: SCOTT A ZELA ANP (NPI 1326044306)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326044306 NPI number — SCOTT A ZELA ANP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZELA
Provider First Name:
SCOTT
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ANP
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326044306
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 300928
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77230-0928
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-799-8300
Provider Business Mailing Address Fax Number:
713-799-8305

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6410 FANNIN ST
Provider Second Line Business Practice Location Address:
STE 225
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030-3002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-799-8300
Provider Business Practice Location Address Fax Number:
713-799-8305
Provider Enumeration Date:
06/23/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X , with the licence number:  636828 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 363LG0600X , with the licence number: 636828 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





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