Provider Demographics
NPI:1184351330
Name:ZAMORA, MELINDA (PMHNP)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:ZAMORA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8351 EXBOURNE ST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-3221
Mailing Address - Country:US
Mailing Address - Phone:210-214-1972
Mailing Address - Fax:
Practice Address - Street 1:1009 NW LOOP 410
Practice Address - Street 2:
Practice Address - City:CASTLE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78213-2221
Practice Address - Country:US
Practice Address - Phone:210-742-6551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1085896363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health