Provider Demographics
NPI:1649401589
Name:ZAVALA GEORFFINO, JULIO PAOLO (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:PAOLO
Last Name:ZAVALA GEORFFINO
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:2325 E SAUNDERS ST PLAZA TWO
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-5434
Mailing Address - Country:US
Mailing Address - Phone:956-723-4673
Mailing Address - Fax:956-723-3133
Practice Address - Street 1:2325 E SAUNDERS ST PLAZA TWO
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5434
Practice Address - Country:US
Practice Address - Phone:956-723-4673
Practice Address - Fax:956-723-3133
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXP9039207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1649401589Medicaid
TX344244401Medicaid