Provider Demographics
NPI:1053546036
Name:LOUIS E. ZUNIGA PT PC
Entity type:Organization
Organization Name:LOUIS E. ZUNIGA PT PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZUNIGA
Authorized Official - Suffix:
Authorized Official - Credentials:PT PC
Authorized Official - Phone:915-755-0738
Mailing Address - Street 1:4646 N MESA ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-6104
Mailing Address - Country:US
Mailing Address - Phone:915-532-3707
Mailing Address - Fax:915-532-2237
Practice Address - Street 1:4646 N MESA ST
Practice Address - Street 2:SUITE B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-6104
Practice Address - Country:US
Practice Address - Phone:915-532-3707
Practice Address - Fax:915-532-2237
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOUIS E. ZUNIGA PT PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-20
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0089822332B00000X
335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3823650001Medicare NSC
TX3823650002Medicare NSC