1477504611 NPI number — ZENING HE MD

Table of content: ZENING HE MD (NPI 1477504611)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477504611 NPI number — ZENING HE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HE
Provider First Name:
ZENING
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477504611
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1900 N OREGON ST
Provider Second Line Business Mailing Address:
STE 305
Provider Business Mailing Address City Name:
EL PASO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79902-3347
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
915-225-2027
Provider Business Mailing Address Fax Number:
915-533-8978

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1900 N OREGON ST
Provider Second Line Business Practice Location Address:
STE 305
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79902-3347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-225-2027
Provider Business Practice Location Address Fax Number:
915-533-8978
Provider Enumeration Date:
05/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X , with the licence number:  P3535 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RX0202X , with the licence number: P3535 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 51006668 . This is a "BCBS OF ALABAMA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51006666 . This is a "BCBS OF ALABAMA" identifier . This identifiers is of the category "OTHER".
  • Identifier: H448 . This is a "MEDICARE GROUP" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: I939 . This is a "MEDICARE GROUP" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51006664 . This is a "BCBS OF ALABAMA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 326034104 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: I938 . This is a "MEDICARE GROUP" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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