Provider Demographics
NPI:1275652356
Name:HERNANDEZ-ZHANG, MARY CARMEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:CARMEN
Last Name:HERNANDEZ-ZHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 SPACE PARK DR
Mailing Address - Street 2:SUITE 302
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3600
Mailing Address - Country:US
Mailing Address - Phone:281-333-9747
Mailing Address - Fax:
Practice Address - Street 1:2060 SPACE PARK DR
Practice Address - Street 2:SUITE 302
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3600
Practice Address - Country:US
Practice Address - Phone:281-333-9747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0406207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine