Organization Active NPI

Edge-MD Zarzamora, PLLC

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1982091815
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N0318 Issued in TX
Legal business name
EDGE-MD ZARZAMORA, PLLC
Practice address
7010 S Zarzamora St
Suite 113
San Antonio, TX 78224-1142
Phone
(210) 921-0603
Fax
(210) 921-9180
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Nathan P Nguyen, MD
Title
Owner
Phone
(979) 532-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X N0318 TX Primary

Addresses

Primary practice location

7010 S Zarzamora St
Suite 113
San Antonio, TX 78224-1142

Mailing address

7010 S Zarzamora St
Suite 113
San Antonio, TX 78224-1142
Phone (210) 921-0603

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1982091815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 S ZARZAMORA ST",
            "address_2": "SUITE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241142",
            "telephone_number": "210-921-0603",
            "fax_number": "210-921-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 S ZARZAMORA ST",
            "address_2": "SUITE 113",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241142",
            "telephone_number": "210-921-0603",
            "fax_number": "210-921-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE-MD ZARZAMORA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-532-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N0318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.