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1508061953

NPI Code Detail

MEDICARE: ZENITHE CHEVON WARE MD

MEDICARE: ZENITHE CHEVON WARE 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
1	208000000X	Pediatrics Physician	N9279	TX
2	207R00000X	Internal Medicine Physician	N9279	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8FZ817	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1508061953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZENITHE CHEVON WARE MD

Provider Business Mailing Address
First Line	:	14903 EL CAMINO REAL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-2603
Country	:	US
Telephone Number	:	713-363-7640
Fax Number	:	281-333-3509

Provider Business Practice Location Address
First Line	:	14903 EL CAMINO REAL
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-2603
Country	:	US
Telephone Number	:	713-363-7640
Fax Number	:	281-333-3509

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2007
Last Update Date	:	10/23/2017

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Directions to “ ZENITHE CHEVON WARE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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