Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | G7432 | TX |
Y | 213ES0000X | Sports Medicine | G7432 | TX |
NPI | 1508086091 |
---|---|
Provider Name | Annette M Zaharoff |
First Address | San Antonio, TX 78240-1512 |
Second Address | San Antonio, TX 78240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 22/08/2018 |