Provider Demographics
NPI:1225837800
Name:UTEPOVA, ZHANNA
Entity type:Individual
Prefix:
First Name:ZHANNA
Middle Name:
Last Name:UTEPOVA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30685 FM 2978 RD APT 1345
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77354-3584
Mailing Address - Country:US
Mailing Address - Phone:346-247-5215
Mailing Address - Fax:
Practice Address - Street 1:30685 FM 2978 RD APT 1345
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-3584
Practice Address - Country:US
Practice Address - Phone:346-247-5215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter