Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 9349T | TX |
NPI | 1003301227 |
---|---|
Provider Name | Hong Zeng |
First Address | Fort Worth, TX 76116-7198 |
Second Address | Fort Worth, TX 76116-7198 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2018 |
Last Update Date | 29/06/2018 |