Healthcare Provider Details

I. General information

NPI: 1265929061
Provider Name (Legal Business Name): MICHAEL LEON ZHU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2018
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 WEST LOOP S STE 200F
BELLAIRE TX
77401-3535
US

IV. Provider business mailing address

6500 WEST LOOP S STE 200F
BELLAIRE TX
77401-3535
US

V. Phone/Fax

Practice location:
  • Phone: 713-572-8122
  • Fax: 713-383-1462
Mailing address:
  • Phone: 713-572-8122
  • Fax: 713-500-6497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberT3729
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberT3729
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: