Provider Demographics
NPI:1891738647
Name:ZUCCONI, JAMES PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PETER
Last Name:ZUCCONI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7007 NORTH FWY
Mailing Address - Street 2:SUITE #305
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77076-1324
Mailing Address - Country:US
Mailing Address - Phone:713-697-3030
Mailing Address - Fax:713-697-5678
Practice Address - Street 1:7007 NORTH FWY
Practice Address - Street 2:SUITE #305
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-1324
Practice Address - Country:US
Practice Address - Phone:713-697-3030
Practice Address - Fax:713-697-5678
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH5376208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX88160SOtherBC/BS
TX10014907OtherAMERIGROUP
TX10014907OtherAMERIGROUP