Healthcare Provider Details

I. General information

NPI: 1588252977
Provider Name (Legal Business Name): YUFEI ZHU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2021
Last Update Date: 12/22/2022
Certification Date: 12/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6795 CALDER AVE
BEAUMONT TX
77706-6007
US

IV. Provider business mailing address

1305 N MAIN ST
VIDOR TX
77662-3726
US

V. Phone/Fax

Practice location:
  • Phone: 409-860-3909
  • Fax:
Mailing address:
  • Phone: 409-769-1171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67951
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: