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NPI Code Detail

MEDICARE: XUDONG XU M.D.

MEDICARE:   XUDONG  XU  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
1207Q00000XFamily Medicine PhysicianL9967TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28M8351OTHERBCBS
37311578OTHERAETNA

General Provider Information

NPI Number : 1992701908
Entity Type Code : Individual
Provider Name (Legal Business Name) : XUDONG XU M.D.
Provider Business Mailing Address
First Line : 9160 BELLAIRE BLVD
Second Line : STE E
City : HOUSTON
State : TX
Zip : 77036-4632
Country : US
Telephone Number : 713-995-8886
Fax Number : 713-270-9358
Provider Business Practice Location Address
First Line : 9160 BELLAIRE BLVD
Second Line : SUITE E
City : HOUSTON
State : TX
Zip : 77036
Country : US
Telephone Number : 713-995-8886
Fax Number : 713-270-9358
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 09/30/2018

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Directions to “ XUDONG XU M.D.” Practice Location

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