Provider Demographics
NPI:1336329937
Name:XU, ZHENG (DMD, PHD)
Entity Type:Individual
Prefix:
First Name:ZHENG
Middle Name:
Last Name:XU
Suffix:
Gender:F
Credentials:DMD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:PO BOX 40397
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-567-6696
Mailing Address - Fax:210-567-3526
Practice Address - Street 1:7703 FLOYD CURL DR
Practice Address - Street 2:DEPT OF PEDIATRIC DENT, MC 7888
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3901
Practice Address - Country:US
Practice Address - Phone:210-567-3535
Practice Address - Fax:210-567-3526
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT009659122300000X
TX244871223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist