Healthcare Provider Details

I. General information

NPI: 1700922275
Provider Name (Legal Business Name): WENSHENG ZHU A.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 08/27/2020
Certification Date: 08/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 CITYWEST BLVD STE. 300
HOUSTON TX
77042-2300
US

IV. Provider business mailing address

PO BOX 840853
DALLAS TX
75284-0853
US

V. Phone/Fax

Practice location:
  • Phone: 713-620-4000
  • Fax: 713-458-4229
Mailing address:
  • Phone: 972-233-1999
  • Fax: 972-233-3666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number496
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: