Basic Information
| Provider Information | |||||||||
| NPI: | 1689631053 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ECLARINAL | ||||||||
| FirstName: | ZENAIDA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6800 PARK TEN BLVD STE 200S | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782134293 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2102611000 | ||||||||
| FaxNumber: | 2102611821 | ||||||||
| Practice Location | |||||||||
| Address1: | 928 W COMMERCE ST | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782074444 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2102611200 | ||||||||
| FaxNumber: | 2104340716 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2006 | ||||||||
| LastUpdateDate: | 03/04/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | E4315 | TX | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
ID Information
| ID | Type | State | Issuer | Description | 140844506 | 05 | TX | MEDICAID | 140844501 | 05 | TX | MEDICAID | 8CU835 | 01 | BCBS TX | OTHER | 140844502 | 05 | TX | MEDICAID | 8DJ846 | 01 | TX | BCBS | OTHER | 140844504 | 05 | TX | MEDICAID | P00460104 | 01 | MEDICARE RR | OTHER | 8U9622 | 01 | TX | BCBS | OTHER | P00951159 | 01 | TX | RAILROAD | OTHER |