Organization Active NPI

Charles W.Zavala,M.D.,P.a.

  • Pulmonary Disease Physician
  • Brownsville, TX
National Provider Identifier
1952606642
Registry record updated Jun 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
F0099 Issued in TX
Legal business name
CHARLES W.ZAVALA,M.D.,P.A.
Practice address
840 W Price Rd
Brownsville, TX 78520-8702
Phone
(956) 541-0162
Fax
(956) 554-9686
NPI assigned
Jan 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2011

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

Authorized official

Name
Mrs. Emma Girala
Title
Office Manager
Phone
(956) 541-0162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X F0099 TX Primary

Addresses

Primary practice location

840 W Price Rd
Brownsville, TX 78520-8702

Mailing address

840 W Price Rd
Brownsville, TX 78520-8702
Phone (956) 541-0162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110415000437 TX Part B Supplier - Clinic/Group Practice 8123202199 Receives reassigned benefits from 1 practitioner
Practice locations: Brownsville, TX

National Provider Directory

National Provider Directory

Locations

840 W Price Rd
Brownsville, TX 78520
Phone (956) 541-0162

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308960000000",
    "number": "1952606642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 W PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208702",
            "telephone_number": "956-541-0162",
            "fax_number": "956-554-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 W PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208702",
            "telephone_number": "956-541-0162",
            "fax_number": "956-554-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W.ZAVALA,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-06-25",
        "status": "A",
        "authorized_official_last_name": "GIRALA",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-541-0162",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "F0099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.