Organization
EDGAR ZAMBRANO D.O, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR H ZAMBRANO D.O (CEO)
(903) 575-9408
Entity
Organization
Contact information
Practice address
103 W 17TH ST, MT PLEASANT, TX 75455-2301
(903) 575-9408
(903) 575-9611
Mailing address
PO BOX 1685, MT PLEASANT, TX 75456-1685
(903) 575-9408
(903) 575-9611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M4680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066RV
BLUE CROSS & BLUE SHIELD
TX
05
—
196786101
—
TX
01
—
DO3885
MEDICARE RAILROAD
TX
Enumeration date
07/10/2008
Last updated
11/11/2024
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