Basic Information
Provider Information
NPI: 1932688868
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZAMORA
FirstName: LANA
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1011 HIGHWAY 6 S # 3311
Address2:  
City: HOUSTON
State: TX
PostalCode: 770771035
CountryCode: US
TelephoneNumber: 7135752000
FaxNumber: 7135752031
Practice Location
Address1: 1011 HIGHWAY 6 S STE 311
Address2:  
City: HOUSTON
State: TX
PostalCode: 770771040
CountryCode: US
TelephoneNumber: 7135752000
FaxNumber: 7135752031
Other Information
ProviderEnumerationDate: 08/10/2018
LastUpdateDate: 08/10/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WH0200X860311TXY Nursing Service ProvidersRegistered NurseHome Health

No ID Information.


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