Doctor Name: | JUAN LUIS ZAMORA |
NPI Number: | 1497774855 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | J3024 |
Business Practice Address: | 7 Medical Pkwy Suite 100 Dallas, TX - 752347829 |
Business Phone Number: | 9727018181 |
Business Fax Number: | 9727018182 |
Mailing Address: | 3851 Canot Ln, ADDISON |
State: | TX |
Postal Code: | 750017904 |
Phone Number: | 2146317203 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2006 |
NPI Last Update Date: | 10/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | J3024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |