Provider Demographics
NPI:1467407510
Name:ZYGMUNT, DEBORAH JANE (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:JANE
Last Name:ZYGMUNT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 CHAMPLAIN ST
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77905-3697
Mailing Address - Country:US
Mailing Address - Phone:361-579-7255
Mailing Address - Fax:
Practice Address - Street 1:1908 N LAURENT ST STE 150
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5417
Practice Address - Country:US
Practice Address - Phone:361-793-5219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01032862A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine