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Organization
JOSEPH ZADEH DO
Active
Organization
JOSEPH ZADEH DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY HERRERA (OFFICE MANAGER)
(817) 903-8041
Entity
Organization
Contact information
Practice address
1411 MCDAVID DR, ALEDO, TX 76008-2845
(817) 903-8041
Mailing address
1411 MCDAVID DR, ALEDO, TX 76008-2845
(817) 903-8041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J5523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH3326
RR MEDICARE GROUP #
TX
01
—
P00130994
RR MEDICARE INDIVIDUAL #
TX
Enumeration date
07/19/2006
Last updated
08/22/2020
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