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Individual

HERNAN A ZARATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 E BEAUREGARD AVE, SAN ANGELO, TX 76903-5919
(325) 658-1511
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2165

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
P1155
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
299593
AMERICAN BOARD OF IM
TX
01
8DD948
BCBS
TX
01
P1155
TEXAS LICENSE
TX
Enumeration date
05/17/2007
Last updated
06/14/2012
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