Provider Demographics
NPI:1518545185
Name:ZAMORA, ANNAMARIE
Entity Type:Individual
Prefix:
First Name:ANNAMARIE
Middle Name:
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 BOBWHITE LOOP
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-7546
Mailing Address - Country:US
Mailing Address - Phone:830-261-2735
Mailing Address - Fax:
Practice Address - Street 1:777 BOBWHITE LOOP
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-7546
Practice Address - Country:US
Practice Address - Phone:830-261-2735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2FOtherMASSAGE THERAPIST
TX21OtherOCCUPATIONAL THERAPY