Basic Information
| Provider Information | |||||||||
| NPI: | 1699094029 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CASTANO DE ZAMACONA | ||||||||
| FirstName: | MARCELA | ||||||||
| MiddleName: | LUCIA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 87 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782910087 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2103589174 | ||||||||
| FaxNumber: | 2103585753 | ||||||||
| Practice Location | |||||||||
| Address1: | 27127 I 10 WEST | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78257 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106987663 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/25/2010 | ||||||||
| LastUpdateDate: | 12/20/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/16/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 01068027A | IN | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | P1170 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.