Provider Demographics
NPI:1528062809
Name:ZAMORA-CAMPOS, VERONICA (MD)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:ZAMORA-CAMPOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:ZAMORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7323 STEEPLE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78256-1652
Mailing Address - Country:US
Mailing Address - Phone:210-698-0293
Mailing Address - Fax:
Practice Address - Street 1:7430 BARLITE BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1365
Practice Address - Country:US
Practice Address - Phone:210-977-9080
Practice Address - Fax:210-977-8480
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0407208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX041962404Medicaid
TX041962404Medicaid