Healthcare Provider Details

I. General information

NPI: 1063763910
Provider Name (Legal Business Name): ALAN I ZANE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2012
Last Update Date: 10/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 E BEND LN
HOUSTON TX
77007-7024
US

IV. Provider business mailing address

42 E BEND LN
HOUSTON TX
77007-7024
US

V. Phone/Fax

Practice location:
  • Phone: 713-880-9282
  • Fax: 713-880-9283
Mailing address:
  • Phone: 713-880-9282
  • Fax: 713-880-9283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberE0382
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: