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Individual

ADONIS ZUNIGA GOLDWATER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2412 JACAMAN RD, STE103, LAREDO, TX 78041-6229
(956) 726-0647
(956) 725-1575
Mailing address
PO BOX 451427, LAREDO, TX 78045-0035
(956) 726-0647
(956) 725-1575

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
H8557
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
136773209
TX
01
7942B
ECFMG
TX
01
80075741
DPS
TX
01
H8557
LICENSE
TX
Enumeration date
07/16/2006
Last updated
03/07/2023
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