Provider Demographics
NPI:1437260544
Name:JORGE ZAMORA-QUEZADA MD MPH PA
Entity Type:Organization
Organization Name:JORGE ZAMORA-QUEZADA MD MPH PA
Other - Org Name:ARTHRITIS AND OSTEOPOROSIS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ZAMORA-QUEZADA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-664-1400
Mailing Address - Street 1:2601 CORNERSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-8479
Mailing Address - Country:US
Mailing Address - Phone:956-664-1400
Mailing Address - Fax:956-664-1450
Practice Address - Street 1:2601 CORNERSTONE BLVD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8479
Practice Address - Country:US
Practice Address - Phone:956-664-1400
Practice Address - Fax:956-664-1450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156989902Medicaid
TX00134UMedicare ID - Type UnspecifiedGROUP #