Healthcare Provider Details

I. General information

NPI: 1245319995
Provider Name (Legal Business Name): VICTOR FRANZ ZURITA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 10/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8550 DATAPOINT DR SUITE 200
SAN ANTONIO TX
78229-3270
US

IV. Provider business mailing address

8550 DATAPOINT DR SUITE 200
SAN ANTONIO TX
78229-3270
US

V. Phone/Fax

Practice location:
  • Phone: 210-615-8308
  • Fax: 210-615-8313
Mailing address:
  • Phone: 210-615-8308
  • Fax: 210-615-8313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberH8537
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: