Individual provider Active NPI

Russell Garcia Zamar, PA-C

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1548066822
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA20047 Issued in TX
Practice address
4707 Eigel St Ste 100
Houston, TX 77007-3417
Phone
(713) 960-1311
Fax
(832) 653-6407
NPI assigned
Feb 19, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA20047 TX Primary

Addresses

Primary practice location

4707 Eigel St Ste 100
Houston, TX 77007-3417

Mailing address

4707 Eigel St Ste 100
Houston, TX 77007-3417
Phone (713) 960-1311

Other practice location 1

2112 W Davis St
Conroe, TX 77304-2049
Phone (713) 960-1311

Other practice location 2

27150 Highway 290 Ste 100
Cypress, TX 77433-7224
Phone (832) 653-3300

Other practice location 3

20303 Kingsland Blvd Ste 100
Katy, TX 77450-3010
Phone (713) 960-1311

Other identifiers 1

IdentifierTypeStateIssuer
1841756236OtherTXNIKKO DERMATOLOGY PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260320001928 TX Practitioner - Physician Assistant 9638653371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nikko Dermatology PLLCGroup PAC ID 6002146677, 4 clinicians

Practice addresses (Care Compare)

20303 Kingsland Blvd
Katy, TX 77450-3010
Phone (713) 960-1311

27150 Hwy 290
Suite 100
Cypress, TX 77433-7224
Phone (832) 653-3300

4707 Eigel St
Suite 100
Houston, TX 77007-3417
Phone (713) 960-1311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA20047TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nikko Dermatology PLLC PastSince Sep 1, 2020 Accepting new patients
Warthan Dermatology Nacogdoches PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1548066822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 EIGEL ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073417",
            "telephone_number": "713-960-1311",
            "fax_number": "832-653-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 EIGEL ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073417",
            "telephone_number": "713-960-1311",
            "fax_number": "832-653-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 W Davis St",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773042049",
            "country_code": "US",
            "telephone_number": "713-960-1311",
            "fax_number": "832-653-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27150 Highway 290 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774337224",
            "country_code": "US",
            "telephone_number": "832-653-3300",
            "fax_number": "832-653-6407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20303 Kingsland Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774503010",
            "country_code": "US",
            "telephone_number": "713-960-1311",
            "fax_number": "832-653-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMAR",
        "first_name": "RUSSELL",
        "middle_name": "GARCIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-19",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA20047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NIKKO DERMATOLOGY PLLC",
            "identifier": "1841756236",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.