Healthcare Provider Details

I. General information

NPI: 1013907963
Provider Name (Legal Business Name): ROBERT A ZAJAC MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E SONTERRA BLVD SUITE 170
SAN ANTONIO TX
78258-4098
US

IV. Provider business mailing address

PO BOX 1346
SAN ANTONIO TX
78295-1346
US

V. Phone/Fax

Practice location:
  • Phone: 210-481-2800
  • Fax: 210-481-2834
Mailing address:
  • Phone: 210-558-6288
  • Fax: 210-558-6289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberH3973
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: