Individual
OMAR A ZANTUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8511 S SAM HOUSTON PKWY E, 101, HOUSTON, TX 77075-4857
(713) 343-2301
Mailing address
8511 S SAM HOUSTON PKWY E, 101, HOUSTON, TX 77075-4857
(713) 343-2301
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
M0614
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173870002
—
TX
Enumeration date
03/28/2006
Last updated
04/04/2014
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