Provider Demographics
NPI:1508507765
Name:ZAMORA, ASHLEY KATHRYN (NP)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:KATHRYN
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4902 TEXANA
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77523-0787
Mailing Address - Country:US
Mailing Address - Phone:832-514-5721
Mailing Address - Fax:
Practice Address - Street 1:1045 GEMINI ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-2805
Practice Address - Country:US
Practice Address - Phone:281-335-1111
Practice Address - Fax:281-286-3392
Is Sole Proprietor?:No
Enumeration Date:2022-04-03
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1047128363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily