Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 59924 | TN |
N | 208600000X | Surgeon | 59924 | TN |
Y | 2086S0120X | Pediatric Surgery | 59924 | TN |
NPI | 1518192616 |
---|---|
Provider Name | Dr. Irving Jose Zamora |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2009 |
Last Update Date | 15/10/2020 |