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Organization
SANTIAGO A ZAMORA MD PA
Active
Organization
SANTIAGO A ZAMORA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARLIN JAIMES (OFFICE MANAGER)
(512) 473-4180
Entity
Organization
Contact information
Practice address
2421 E 7TH ST, AUSTIN, TX 78702-3492
(512) 473-4180
Mailing address
2421 E 7TH ST, AUSTIN, TX 78702-3492
(512) 473-4180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F4720
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080561601
—
TX
01
—
88750S
BLUECROSS BLUESHIELD
TX
Enumeration date
12/10/2007
Last updated
06/03/2011
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