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Individual

JOHN PAUL ZUBRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
910 E HOUSTON ST, STE 330, TYLER, TX 75702-8368
(903) 525-7995
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
772582
TX
363LF0000X
Family Nurse Practitioner
564692
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203778002
TX
05
203778005
TX
01
75-0818167-022
TRICARE
TX
01
75-2616977-001
TRICARE
TX
01
8951NA
BCBS BLUE
TX
01
P012416391
RAIL ROAD
TX
Enumeration date
11/06/2006
Last updated
06/09/2017
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