MEDICARE: MR. ALEJANDRO ZAMBRA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	F0361	TX

General Provider Information

NPI Number	:	1194730465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALEJANDRO ZAMBRA MD

Provider Business Mailing Address
First Line	:	5644 LAWNDALE AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-3840
Country	:	US
Telephone Number	:	713-921-1110
Fax Number	:	713-921-5082

Provider Business Practice Location Address
First Line	:	5644 LAWNDALE AVE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-3840
Country	:	US
Telephone Number	:	713-921-1110
Fax Number	:	713-921-5082

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	07/08/2007

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