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135 Oyster Creek Dr Ste E Lake Jackson TX 77566-4119 | |
| (830) 513-7215 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 135 Oyster Creek Dr Ste E, Lake Jackson, Texas |
| Authorized Official Name and Position | Stephanie Alisa Zamora (ADMINISTRATOR/CLINICIAN) |
| Authorized Official Contact | 9792973387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
135 Oyster Creek Dr Ste E Lake Jackson TX 77566-4119 Ph: (979) 297-3387 | 135 Oyster Creek Dr Ste E Lake Jackson TX 77566-4119 Ph: (830) 513-7215 |
| NPI Number | 1700434859 |
|---|---|
| Provider Enumeration Date | 09/02/2019 |
| Last Update Date | 09/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700434859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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