MEDICARE: YUJIAN ZHANG

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	363L00000X	Nurse Practitioner	1003218	TX

General Provider Information

NPI Number	:	1598430894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUJIAN ZHANG

Provider Business Mailing Address
First Line	:	2518 SUNNY SHORES DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-3162
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2518 SUNNY SHORES DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-3162
Country	:	US
Telephone Number	:	832-868-2408
Fax Number	:

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

Provider Enumeration Date	:	08/10/2021
Last Update Date	:	08/10/2021

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Directions to “ YUJIAN ZHANG ” Practice Location

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