Provider Demographics
NPI:1164603577
Name:ZAMORA, HECTOR JR (LMSW, ASOTP)
Entity Type:Individual
Prefix:
First Name:HECTOR
Middle Name:
Last Name:ZAMORA
Suffix:JR
Gender:M
Credentials:LMSW, ASOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5578
Mailing Address - Country:US
Mailing Address - Phone:915-542-1582
Mailing Address - Fax:915-542-0494
Practice Address - Street 1:1310 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5578
Practice Address - Country:US
Practice Address - Phone:915-542-1582
Practice Address - Fax:915-542-0494
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX377601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical