Zantua, Omar A
Zantua, Omar A is an individual health care provider with primary practice located at 8511 S Sam Houston Pkwy E 101, Houston TX 77075-4857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Zantua, Omar A can be contacted via phone (713) 343-2301.Contact Information
Primary practice address
8511 S Sam Houston Pkwy E 101
Houston TX 77075-4857
Phone: (713) 343-2301
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | M0614 | Texas |
Profile Details
| NPI number | 1083675359 |
|---|---|
| LBN Legal business name | Zantua, Omar A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Apr 4th, 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 | 1083675359 | NPPES |
| Texas | MEDICAID | 173870002 |
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