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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417903428 NPPES
California MEDICAID 00A483900
California MEDICAID 217365002
California MEDICAID 217365001

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