Provider Demographics
NPI:1689631053
Name:ECLARINAL, ZENAIDA (MD)
Entity type:Individual
Prefix:
First Name:ZENAIDA
Middle Name:
Last Name:ECLARINAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 PARK TEN BLVD STE 200S
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-4293
Mailing Address - Country:US
Mailing Address - Phone:210-261-1000
Mailing Address - Fax:210-261-1821
Practice Address - Street 1:928 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-4444
Practice Address - Country:US
Practice Address - Phone:210-261-1200
Practice Address - Fax:210-434-0716
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE43152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140844506Medicaid
TX140844501Medicaid
8CU835OtherBCBS TX
TX140844502Medicaid
TX8DJ846OtherBCBS
TX140844504Medicaid
P00460104OtherMEDICARE RR
TX8U9622OtherBCBS
TXP00951159OtherRAILROAD
TX8U9622OtherBCBS
P00460104OtherMEDICARE RR
8CU835OtherBCBS TX