MEDICARE: DR. MARY CARMEN HERNANDEZ-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	207R00000X	Internal Medicine Physician	P0406	TX

General Provider Information

NPI Number	:	1275652356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY CARMEN HERNANDEZ-ZHANG M.D.

Provider Business Mailing Address
First Line	:	2060 SPACE PARK DR
Second Line	:	SUITE 302
City	:	HOUSTON
State	:	TX
Zip	:	77058-3600
Country	:	US
Telephone Number	:	281-333-9747
Fax Number	:

Provider Business Practice Location Address
First Line	:	2060 SPACE PARK DR
Second Line	:	SUITE 302
City	:	HOUSTON
State	:	TX
Zip	:	77058-3600
Country	:	US
Telephone Number	:	281-333-9747
Fax Number	:

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	09/15/2014

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