Provider Demographics
NPI:1003985672
Name:MEDICA-O'HEA, ZENA AZIZA (DO)
Entity Type:Individual
Prefix:DR
First Name:ZENA
Middle Name:AZIZA
Last Name:MEDICA-O'HEA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3580 LUTHER CURTIS RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:TX
Mailing Address - Zip Code:76579-3704
Mailing Address - Country:US
Mailing Address - Phone:254-654-1227
Mailing Address - Fax:
Practice Address - Street 1:3580 LUTHER CURTIS RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:TX
Practice Address - Zip Code:76579-3704
Practice Address - Country:US
Practice Address - Phone:254-654-1227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102201609207Q00000X
TXN4372207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine