Amaya, Zeda G
Amaya, Zeda G is an individual health care provider with primary practice located at 2755 Miller Ave , Fort Worth TX 76105-4164. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Amaya, Zeda G can be contacted via phone (817) 534-7110.Contact Information
Primary practice address
2755 Miller Ave
Fort Worth TX 76105-4164
Phone: (817) 534-7110
Fax: (817) 413-0521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A48390 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N5530 | Texas |
Profile Details
| NPI number | 1417903428 |
|---|---|
| LBN Legal business name | Amaya, Zeda G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Feb 17th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417903428 | NPPES |
| California | MEDICAID | 00A483900 | |
| California | MEDICAID | 217365002 | |
| California | MEDICAID | 217365001 |
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