Healthcare Provider Details

I. General information

NPI: 1215513700
Provider Name (Legal Business Name): JANE LIANG ZHU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 06/25/2025
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 S MAIN ST
FORT WORTH TX
76104-4917
US

IV. Provider business mailing address

8201 PRESTON ROAD SUITE #350
DALLAS TX
75225
US

V. Phone/Fax

Practice location:
  • Phone: 817-702-1244
  • Fax:
Mailing address:
  • Phone: 214-631-7546
  • Fax: 214-631-8546

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberV5000
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: