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NPI Code Detail

MEDICARE: JACKIE JIAQI ZHANG MD

MEDICARE:   JACKIE JIAQI ZHANG  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianV7127TX

General Provider Information

NPI Number : 1487397816
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACKIE JIAQI ZHANG MD
Provider Business Mailing Address
First Line : 143 BELLA KATY DR
Second Line :
City : KATY
State : TX
Zip : 77494-6819
Country : US
Telephone Number : 346-387-9889
Fax Number : 346-387-9896
Provider Business Practice Location Address
First Line : 143 BELLA KATY DR
Second Line :
City : KATY
State : TX
Zip : 77494-6819
Country : US
Telephone Number : 346-387-9889
Fax Number : 346-387-9896
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2022
Last Update Date : 11/05/2025

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Directions to “ JACKIE JIAQI ZHANG MD” Practice Location

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