Organization
FAMILY TREE HEALTH CLINIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALVARO FRANCISCO ZAMORA MD (PHYSICIAN)
(281) 538-8188
Entity
Organization
Contact information
Practice address
2911 S SHORE BLVD, SUITE 190, LEAGUE CITY, TX 77573-3922
(281) 538-8188
(281) 538-8189
Mailing address
2911 S SHORE BLVD, SUITE 190, LEAGUE CITY, TX 77573-3922
(281) 538-8188
(281) 538-8189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDTXJ9936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0042LW
BLUE CROSS BLUE SHIELD
TX
05
—
177836701
—
TX
Enumeration date
11/13/2006
Last updated
02/25/2014
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