Healthcare Provider Details

I. General information

NPI: 1205640836
Provider Name (Legal Business Name): HUA ZHU NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2025
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2840 COMMERCIAL CENTER BLVD STE 104
KATY TX
77494-6412
US

IV. Provider business mailing address

2840 COMMERCIAL CENTER BLVD STE 104
KATY TX
77494-6412
US

V. Phone/Fax

Practice location:
  • Phone: 832-356-8768
  • Fax:
Mailing address:
  • Phone: 832-356-8768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1180106
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: