MEDICARE: JONATHAN ZALAMEA

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	207QS0010X	Sports Medicine (Family Medicine) Physician	S3481	TX
2	207Q00000X	Family Medicine Physician	S3481	TX

General Provider Information

NPI Number	:	1255787032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN ZALAMEA

Provider Business Mailing Address
First Line	:	24518 NORTHWEST FWY # 275
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-2199
Country	:	US
Telephone Number	:	346-618-4100
Fax Number	:	346-618-4101

Provider Business Practice Location Address
First Line	:	24518 NORTHWEST FWY # 275
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-2199
Country	:	US
Telephone Number	:	346-618-4100
Fax Number	:	346-618-4101

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

Provider Enumeration Date	:	05/10/2016
Last Update Date	:	09/19/2024

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Directions to “ JONATHAN ZALAMEA ” Practice Location

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