Provider Demographics
NPI:1447366141
Name:ZARATE, LUIS A (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:A
Last Name:ZARATE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 S KATHLEEN ST
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-5211
Mailing Address - Country:US
Mailing Address - Phone:915-613-8132
Mailing Address - Fax:361-492-5523
Practice Address - Street 1:10520 MONTWOOD DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-2703
Practice Address - Country:US
Practice Address - Phone:915-921-9090
Practice Address - Fax:915-595-0477
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0062903207V00000X
TXM9759207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL373364500Medicaid
TX197468501Medicaid
TXTXB105497Medicare PIN
TX197468501Medicaid
FL373364500Medicaid