Provider Demographics
NPI:1063183077
Name:EMERGENCY PHYSICIANS OF EAGLE PASS, PLLC
Entity type:Organization
Organization Name:EMERGENCY PHYSICIANS OF EAGLE PASS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-352-2519
Mailing Address - Street 1:PO BOX 451918
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77245-1918
Mailing Address - Country:US
Mailing Address - Phone:346-250-3500
Mailing Address - Fax:832-365-6147
Practice Address - Street 1:2114 N VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852-7718
Practice Address - Country:US
Practice Address - Phone:830-522-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty