Individual
DR. EDGAR ZAMBRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2015 MULBERRY AVE, SUITE 210, MOUNT PLEASANT, TX 75455-2312
(903) 575-9408
Mailing address
PO BOX 1685, MOUNT PLEASANT, TX 75456-1685
(903) 575-9408
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M4680
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191068902
—
TX
01
—
8BS780
BLUE CROSS & BLUE SHIELD
TX
01
—
P00676257
MEDICARE RAILROAD
TX
Enumeration date
03/14/2007
Last updated
01/19/2023
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