Provider Demographics
NPI:1346439700
Name:ZHANG, JIA QING (LAC)
Entity Type:Individual
Prefix:
First Name:JIA
Middle Name:QING
Last Name:ZHANG
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:2201 DOUBLE CREEK DR
Mailing Address - Street 2:SUITE 1005
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-3836
Mailing Address - Country:US
Mailing Address - Phone:512-659-1437
Mailing Address - Fax:512-250-0349
Practice Address - Street 1:2201 DOUBLE CREEK DR
Practice Address - Street 2:SUITE 1005
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-3836
Practice Address - Country:US
Practice Address - Phone:512-659-1437
Practice Address - Fax:512-250-0349
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00698171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist