Provider Demographics
NPI:1891681714
Name:ZITA, DEXTER (MSN, APRN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:DEXTER
Middle Name:
Last Name:ZITA
Suffix:
Gender:M
Credentials:MSN, APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 FEATHERTON CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6053
Mailing Address - Country:US
Mailing Address - Phone:832-630-0905
Mailing Address - Fax:
Practice Address - Street 1:4477 S LAMAR BLVD STE 400
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1589
Practice Address - Country:US
Practice Address - Phone:512-892-9231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1171337363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics