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1417903428

NPI Code Detail

MEDICARE: ZEDA G AMAYA MD

MEDICARE: ZEDA G AMAYA 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	208000000X	Pediatrics Physician	A48390	CA
2	208000000X	Pediatrics Physician	N5530	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1417903428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZEDA G AMAYA MD

Provider Business Mailing Address
First Line	:	PO BOX 99371
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76199-0371
Country	:	US
Telephone Number	:	685-885-1855
Fax Number	:	682-885-7347

Provider Business Practice Location Address
First Line	:	2755 MILLER AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76105-4164
Country	:	US
Telephone Number	:	817-534-7110
Fax Number	:	817-413-0521

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	02/17/2014

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Directions to “ ZEDA G AMAYA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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