Provider Demographics
NPI:1104610369
Name:ZAMORA, JOAQUIN
Entity type:Individual
Prefix:
First Name:JOAQUIN
Middle Name:
Last Name:ZAMORA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7610 JACKSBORO DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78252-4669
Mailing Address - Country:US
Mailing Address - Phone:726-203-5437
Mailing Address - Fax:
Practice Address - Street 1:7610 JACKSBORO DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78252-4669
Practice Address - Country:US
Practice Address - Phone:726-203-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy