Basic Information
| Provider Information | |||||||||
| NPI: | 1518621507 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZAPALAC | ||||||||
| FirstName: | SAMANTHA | ||||||||
| MiddleName: | KRISTEN | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5326 LAUREN MANOR DR | ||||||||
| Address2: | |||||||||
| City: | BROOKSHIRE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774235011 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9798858808 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 10850 LOUETTA RD STE 1500 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770703537 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2813202338 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2021 | ||||||||
| LastUpdateDate: | 10/26/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2100X | TESTPENDING | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Acute Care |
No ID Information.