Provider Demographics
NPI:1215198338
Name:CYNTHIA ZAMORA MD PA
Entity Type:Organization
Organization Name:CYNTHIA ZAMORA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:210-340-7700
Mailing Address - Street 1:1603 BABCOCK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4750
Mailing Address - Country:US
Mailing Address - Phone:210-340-7700
Mailing Address - Fax:210-340-7711
Practice Address - Street 1:1603 BABCOCK RD STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4750
Practice Address - Country:US
Practice Address - Phone:210-340-7700
Practice Address - Fax:210-340-7711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109372207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG5803OtherLICENSE
TX120439803Medicaid
TX00K13CMedicare PIN
TX120439803Medicaid