Provider Demographics
NPI: | 1891211876 |
---|---|
Name: | ZANORIA MD PLLC |
Entity type: | Organization |
Organization Name: | ZANORIA MD PLLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | BILLING |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SILVIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | VALDEZ |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 361-885-7722 |
Mailing Address - Street 1: | PO BOX 60190 |
Mailing Address - Street 2: | |
Mailing Address - City: | CORPUS CHRISTI |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 78466-0190 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 361-885-7722 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1711 W WHEELER AVE STE 1 |
Practice Address - Street 2: | |
Practice Address - City: | ARANSAS PASS |
Practice Address - State: | TX |
Practice Address - Zip Code: | 78336-4536 |
Practice Address - Country: | US |
Practice Address - Phone: | 361-885-7722 |
Practice Address - Fax: | 361-885-7792 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-08-21 |
Last Update Date: | 2017-08-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | Q9269 | 207RP1001X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | Group - Single Specialty |