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Organization
ZARATE MEDICAL GROUP PA
Active
Organization
ZARATE MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUDOLFO P ZARATE JR. MD (PRESIDENT)
(210) 587-8787
Entity
Organization
Contact information
Practice address
1200 BROOKLYN AVE STE 310, SAN ANTONIO, TX 78212-4810
(210) 587-8787
(210) 388-0239
Mailing address
24014 GRAN PALACIO, SAN ANTONIO, TX 78261-2766
(210) 587-8787
(210) 388-0239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M1415
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00W262
MEDICARE PTAN
TX
05
—
179126101
—
TX
Enumeration date
02/28/2007
Last updated
10/20/2020
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