Healthcare Provider Details

I. General information

NPI: 1255357653
Provider Name (Legal Business Name): ROBERT A ZAJAC MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 09/15/2015
Certification Date:
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: DR. ROBERT A ZAJAC
Title or Position: PRESIDENT
Credential: MD
Phone: 210-558-6288