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Individual

DEBORAH S ZACHEUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1116 12TH ST # 3, BANDERA, TX 78003-3454
(830) 796-3448
Mailing address
130 STATE HIGHWAY 173 N UNIT 519, BANDERA, TX 78003-8025
(830) 796-3448
(830) 796-3840

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
507719
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092909302
TX
01
500004694
RAILROAD MEDICARE
TX
01
86N466
BCBS
Enumeration date
09/20/2006
Last updated
06/11/2019
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