MEDICARE: DR. TIAN ZHANG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	32452503	NC

General Provider Information

NPI Number	:	1083858443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIAN ZHANG M.D.

Provider Business Mailing Address
First Line	:	PO BOX 845347
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-7208
Country	:	US
Telephone Number	:	214-648-4180
Fax Number	:	214-648-1995

Provider Business Practice Location Address
First Line	:	2201 INWOOD RD FL 3
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7320
Country	:	US
Telephone Number	:	214-645-4673
Fax Number	:	214-645-2542

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	10/01/2021

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