Organization
CAPITOL CITY FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BELDA ZAMORA M.D. (PRESIDENT)
(512) 474-7824
Entity
Organization
Contact information
Practice address
2100 E 6TH ST, SUITE B, AUSTIN, TX 78702-3406
(512) 474-7824
(512) 474-1068
Mailing address
2100 E 6TH ST, SUITE B, AUSTIN, TX 78702-3406
(512) 474-7824
(512) 474-1068
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
K2143
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00137N
MEDICARE
TX
05
—
079969401
—
TX
Enumeration date
07/11/2007
Last updated
10/22/2013
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