Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | AP122100 | TX |
Y | 111NI0900X | Internist | AP122100 | TX |
NPI | 1003163130 |
---|---|
Provider Name | Hong Zhao |
First Address | Houston, TX 77081 |
Second Address | Sugar Land, TX 77479 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2012 |
Last Update Date | 18/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
HONG2012 | (02) | TX |