Healthcare Provider Details

I. General information

NPI: 1194269886
Provider Name (Legal Business Name): ZIDON MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2016
Last Update Date: 12/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10695 ASTORIA DR
FRISCO TX
75035-9063
US

IV. Provider business mailing address

10695 ASTORIA DR
FRISCO TX
75035-9063
US

V. Phone/Fax

Practice location:
  • Phone: 214-872-1827
  • Fax: 214-872-1827
Mailing address:
  • Phone: 214-872-1827
  • Fax: 214-872-1827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. UCHENNA CHRISTOPHER OZUAH
Title or Position: OWNER
Credential: MD
Phone: 214-872-1827