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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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 1083675359 NPPES
Texas MEDICAID 173870002

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