Healthcare Provider Details

I. General information

NPI: 1902615982
Provider Name (Legal Business Name): RUILIN ZHU L-316965
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8127 SPRING BLUEBONNET DR
SUGAR LAND TX
77479-7018
US

IV. Provider business mailing address

8127 SPRING BLUEBONNET DR
SUGAR LAND TX
77479-7018
US

V. Phone/Fax

Practice location:
  • Phone: 515-520-4356
  • Fax:
Mailing address:
  • Phone: 515-520-4356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: