Provider Demographics
NPI:1063163558
Name:ZARATE, JOSE (CSA)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:ZARATE
Suffix:
Gender:M
Credentials:CSA
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3220 CLEARVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-5920
Mailing Address - Country:US
Mailing Address - Phone:713-670-6272
Mailing Address - Fax:
Practice Address - Street 1:3220 CLEARVIEW CIR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-5920
Practice Address - Country:US
Practice Address - Phone:713-670-6272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-16
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical