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Individual

JONATHAN ZAGZAG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R3251
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
375462401
TX
05
375462402
TX
Enumeration date
01/10/2011
Last updated
04/24/2025
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