Healthcare Provider Details

I. General information

NPI: 1487948121
Provider Name (Legal Business Name): NINGXI ZHU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2011
Last Update Date: 10/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1718 BRAESWOOD DR
CORPUS CHRISTI TX
78412-4584
US

IV. Provider business mailing address

1718 BRAESWOOD DR
CORPUS CHRISTI TX
78412-4584
US

V. Phone/Fax

Practice location:
  • Phone: 361-992-8500
  • Fax: 391-992-6711
Mailing address:
  • Phone: 361-992-8500
  • Fax: 391-992-6711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberBP10031044
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberP3497
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: