Provider Demographics
NPI:1477846061
Name:JUAN LUIS ZAMORA, M.D., P.A.
Entity Type:Organization
Organization Name:JUAN LUIS ZAMORA, M.D., P.A.
Other - Org Name:DALLAS MEDICAL MULTICARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-701-8181
Mailing Address - Street 1:8 MEDICAL PARKWAY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234
Mailing Address - Country:US
Mailing Address - Phone:972-701-8181
Mailing Address - Fax:972-701-8182
Practice Address - Street 1:8 MEDICAL PARKWAY
Practice Address - Street 2:SUITE 208
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234
Practice Address - Country:US
Practice Address - Phone:972-701-8181
Practice Address - Fax:972-701-8182
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JUAN LUIS ZAMORA, M.D., P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty