Most Relevant Information
Provider Data
NPI Number: | 1003596396 |
Provider Name: | ROBERT AUSTIN ZEPEDA |
Entity Type: | Individual |
Taxonomy Code: | 175T00000X |
Specialty: | Peer Specialist |
License Number: |
Most Important Dates
Enumeration Date: | 07/20/2023 |
Last Updated: | 07/20/2023 |
Provider Practice Location
182 SW ACADEMY ST
DALLAS
OR
973381996
Practice Location Phone/Fax
Phone: | 5039623928 |
Fax: |
Provider Mailing Location
1186 SE LYLE ST
DALLAS
OR
973382820
Provider Mailing Phone/Fax
Phone: | 9713746314 |
Fax: |