Provider Demographics
NPI:1275508699
Name:ZEON, ZAE Y (MD)
Entity Type:Individual
Prefix:DR
First Name:ZAE
Middle Name:Y
Last Name:ZEON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4010 RAVEN RIVER DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-5561
Mailing Address - Country:US
Mailing Address - Phone:713-694-3900
Mailing Address - Fax:713-694-5563
Practice Address - Street 1:6500 NORTH FWY
Practice Address - Street 2:SUITE#107
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77076-2941
Practice Address - Country:US
Practice Address - Phone:713-694-3900
Practice Address - Fax:713-694-5563
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF5421208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB27821Medicare UPIN
TX00U48YMedicare ID - Type Unspecified