Provider Demographics
NPI:1528557642
Name:ZAMORA, ELENA NICOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELENA
Middle Name:NICOLE
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6431 FANNIN ST JJL324
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1501
Mailing Address - Country:US
Mailing Address - Phone:713-500-7600
Mailing Address - Fax:
Practice Address - Street 1:6410 FANNIN ST STE 170
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3003
Practice Address - Country:US
Practice Address - Phone:832-325-6500
Practice Address - Fax:713-512-2203
Is Sole Proprietor?:No
Enumeration Date:2018-05-03
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX47427207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine