Healthcare Provider Details

I. General information

NPI: 1649401589
Provider Name (Legal Business Name): JULIO PAOLO ZAVALA GEORFFINO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2009
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2325 E SAUNDERS ST PLAZA TWO
LAREDO TX
78041-5434
US

IV. Provider business mailing address

2325 E SAUNDERS ST PLAZA TWO
LAREDO TX
78041-5434
US

V. Phone/Fax

Practice location:
  • Phone: 956-723-4673
  • Fax: 956-723-3133
Mailing address:
  • Phone: 956-723-4673
  • Fax: 956-723-3133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberP9039
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: