MEDICARE: DR. HERBERT JOHN ZEH III MD

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	174400000X	Specialist	R6718	TX
2	208600000X	Surgery Physician	R6718	TX
3	2086X0206X	Surgical Oncology Physician	R6718	TX

General Provider Information

NPI Number	:	1306812573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HERBERT JOHN ZEH III MD

Provider Business Mailing Address
First Line	:	5323 HARRY HINES BLVD # MC9031
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-9031
Country	:	US
Telephone Number	:	214-648-3509
Fax Number	:

Provider Business Practice Location Address
First Line	:	2201 INWOOD ROAD 5TH FLOOR SUITE 920
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390
Country	:	US
Telephone Number	:	214-645-4673
Fax Number	:

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	05/16/2018

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