Individual
JAIME ZUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 WALLACE BLVD, AMARILLO, TX 79106-1794
(806) 359-4673
(806) 356-1901
Mailing address
PO BOX 2533, AMARILLO, TX 79105-2533
(806) 212-5079
(806) 212-6278
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
M2223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175630603
—
TX
Enumeration date
05/04/2006
Last updated
04/26/2017
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