| Natividad Wound Care, Llc | |
|
138 Zamora Medical Cir Eagle Pass TX 78852-5924 | |
| (830) 776-5486 | |
| (830) 776-5590 |
| Full Name | Natividad Wound Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 138 Zamora Medical Cir, Eagle Pass, Texas |
| Authorized Official Name and Position | Sergio Zamora (OWNER) |
| Authorized Official Contact | 8307573900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Natividad Wound Care, Llc 138 Zamora Medical Cir Eagle Pass TX 78852-5924 Ph: (830) 776-5486 | Natividad Wound Care, Llc 138 Zamora Medical Cir Eagle Pass TX 78852-5924 Ph: (830) 776-5486 |
| NPI Number | 1134694532 |
|---|---|
| Provider Enumeration Date | 10/11/2018 |
| Last Update Date | 08/24/2021 |
| Medicare PECOS PAC ID | 9638413941 |
|---|---|
| Medicare Enrollment ID | O20181127002055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134694532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Sergio Zamora |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467412189 PECOS PAC ID: 7517133317 Enrollment ID: I20111228000631 |
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