Healthcare Provider Details
I. General information
NPI: 1871379115
Provider Name (Legal Business Name): ZHU FAMILY MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/04/2023
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5614 FAIRDALE LN
HOUSTON TX
77057-6302
US
IV. Provider business mailing address
5614 FAIRDALE LN
HOUSTON TX
77057-6302
US
V. Phone/Fax
- Phone: 713-800-4334
- Fax:
- Phone: 713-800-4334
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MUFENG
ZHU
Title or Position: OWNER
Credential: MD
Phone: 512-923-9163