Healthcare Provider Details

I. General information

NPI: 1770043473
Provider Name (Legal Business Name): MERRY ZHECHAO RUAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2019
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 GRAMERCY ST
HOUSTON TX
77025-1756
US

IV. Provider business mailing address

2855 GRAMERCY ST STE 400
HOUSTON TX
77025-1756
US

V. Phone/Fax

Practice location:
  • Phone: 713-668-6828
  • Fax:
Mailing address:
  • Phone: 713-668-6828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberV1603
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: