Provider Demographics
NPI:1568528230
Name:ZAMORA, CYNTHIA A (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:A
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:MCCOMBS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1603 BABCOCK RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4750
Mailing Address - Country:US
Mailing Address - Phone:210-340-7700
Mailing Address - Fax:210-340-7711
Practice Address - Street 1:1603 BABCOCK RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4750
Practice Address - Country:US
Practice Address - Phone:210-340-7700
Practice Address - Fax:210-340-7711
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109372207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX120439803Medicaid
TXG5803OtherLICENSE
TXG5803OtherLICENSE
TX120439803Medicaid