| Dr Sergio Zamora, Pa | |
|
2450 El Indio Hwy Eagle Pass TX 78852-6615 | |
| (830) 757-3900 | |
| (830) 757-3838 |
| Full Name | Dr Sergio Zamora, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2450 El Indio Hwy, Eagle Pass, Texas |
| Authorized Official Name and Position | Sergio Zamora (PRESIDENT) |
| Authorized Official Contact | 8307573900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sergio Zamora, Pa 2450 El Indio Hwy Eagle Pass TX 78852-6615 Ph: (830) 757-3900 | Dr Sergio Zamora, Pa 2450 El Indio Hwy Eagle Pass TX 78852-6615 Ph: (830) 757-3900 |
| NPI Number | 1265734248 |
|---|---|
| Provider Enumeration Date | 11/24/2010 |
| Last Update Date | 02/18/2021 |
| Medicare PECOS PAC ID | 7810163615 |
|---|---|
| Medicare Enrollment ID | O20111228000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265734248 | NPI | - | NPPES |
| 137895204 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sergio Zamora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467412189 PECOS PAC ID: 7517133317 Enrollment ID: I20111228000631 |
| Provider Name | Jay Siu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689023160 PECOS PAC ID: 5799013405 Enrollment ID: I20190820000323 |
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