Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 53481 | TX |
NPI | 1255787032 |
---|---|
Provider Name | Jonathan Zalamea |
First Address | Cypress, TX 77433-1203 |
Second Address | Cypress, TX 77433-1203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2016 |
Last Update Date | 09/03/2021 |