Healthcare Provider Details

I. General information

NPI: 1851329940
Provider Name (Legal Business Name): ALMA ROSA ZAMBRANO R.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9102 FLOYD CURL DR SUITE193
SAN ANTONIO TX
78240-1553
US

IV. Provider business mailing address

9102 FLOYD CURL DR SUITE193
SAN ANTONIO TX
78240-1553
US

V. Phone/Fax

Practice location:
  • Phone: 210-247-0895
  • Fax: 210-558-0758
Mailing address:
  • Phone: 210-247-0895
  • Fax: 210-558-0758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2471N0900X
TaxonomyNuclear Medicine Technology Radiologic Technologist
License Number28896
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: