Healthcare Provider Details

I. General information

NPI: 1912182429
Provider Name (Legal Business Name): ZHANG CHIROPRACTIC & TCM CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 06/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2411 COIT RD SUITE 110
PLANO TX
75075-3750
US

IV. Provider business mailing address

2411 COIT RD SUITE 110
PLANO TX
75075-3750
US

V. Phone/Fax

Practice location:
  • Phone: 972-769-7345
  • Fax: 972-769-7340
Mailing address:
  • Phone: 972-769-7345
  • Fax: 972-769-7340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number9904
License Number StateTX

VIII. Authorized Official

Name: DR. LEI ZHANG
Title or Position: PRESIDENT
Credential: DC. L.AC
Phone: 972-769-7345