Zocalo Health

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ZOCALO HEALTH

Practice address

9518 Paintbrush Ledge LN
Houston, TX 77089-2704

Phone

(505) 280-5669

NPI assigned

Aug 30, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mariza Hardin

Title

Chief Operating Officer

Phone

(505) 280-5669

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1639899651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 NE 188TH PL",
            "city": "KENMORE",
            "state": "WA",
            "postal_code": "980283211",
            "telephone_number": "505-280-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9518 PAINTBRUSH LEDGE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892704",
            "telephone_number": "505-280-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOCALO HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "MARIZA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "505-280-5669"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.