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NPI Code Detail

MEDICARE: HARRY MARTIN NIMA ZEGARRA M.D.

MEDICARE: HARRY MARTIN NIMA ZEGARRA M.D.
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
1207R00000XInternal Medicine PhysicianQ3253TX
2207RP1001XPulmonary Disease PhysicianQ3253TX
3207RC0200XCritical Care Medicine (Internal Medicine) PhysicianQ3253TX

General Provider Information

NPI Number : 1740464601
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRY MARTIN NIMA ZEGARRA M.D.
Provider Business Mailing Address
First Line : 3600 GASTON AVE STE 960
Second Line :
City : DALLAS
State : TX
Zip : 75246-1909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3600 GASTON AVE STE 960
Second Line :
City : DALLAS
State : TX
Zip : 75246-1909
Country : US
Telephone Number : 484-547-5019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2007
Last Update Date : 04/07/2022

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