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Individual

DR. JEFFERSON ALEJANDRO PROANO ZAMUDIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-1846
Mailing address
PO BOX 650859, DALLAS, TX 75265-0859
(409) 772-1846

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10084553
TX

Other

Enumeration date
05/31/2023
Last updated
06/01/2023
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