Healthcare Provider Details

I. General information

NPI: 1164531083
Provider Name (Legal Business Name): XIUQIN ZHAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7655 S BRAESWOOD BLVD
HOUSTON TX
77071-1400
US

IV. Provider business mailing address

7655 S BRAESWOOD BLVD
HOUSTON TX
77071-1400
US

V. Phone/Fax

Practice location:
  • Phone: 713-794-7260
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QH0600X
TaxonomyHistology Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: