Provider Demographics
NPI:1154915353
Name:ZAPATA, DANIELLE C (OD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:C
Last Name:ZAPATA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:DANIELLE
Other - Middle Name:C
Other - Last Name:ZAPATA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:5212 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-5712
Mailing Address - Country:US
Mailing Address - Phone:210-829-8083
Mailing Address - Fax:210-822-4011
Practice Address - Street 1:5212 BROADWAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-5712
Practice Address - Country:US
Practice Address - Phone:210-829-8083
Practice Address - Fax:210-822-4011
Is Sole Proprietor?:No
Enumeration Date:2021-02-27
Last Update Date:2021-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10186T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100186TOtherOPTOMETRY LICENSE