Organization Name: | JUAN LUIS ZAMORA, M.D., P.A. |
NPI Number: | 1477846061 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL CASTRO (MEMBER) |
Mailing Address: | 6310 Lbj Fwy Ste 218 Dallas |
State: | TX US |
Postal Code: | 752406422 |
Phone Number: | 9727018181 |
Fax Number: | 9727018182 |
NPI Enumeration Date: | 05/16/2011 |
NPI Last Update Date: | 05/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |