Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | R6718 | TX |
N | 208600000X | Surgeon | R6718 | TX |
Y | 2086X0206X | Surgical Oncologist | R6718 | TX |
NPI | 1306812573 |
---|---|
Provider Name | Dr. Herbert John Zeh III |
First Address | Dallas, TX 75390-9031 |
Second Address | Dallas, TX 75390 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 16/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H35591 | (02) | PA |