Provider Demographics
NPI:1467435016
Name:JIA, ZAISHUI (MD)
Entity Type:Individual
Prefix:
First Name:ZAISHUI
Middle Name:
Last Name:JIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9110 BELLAIRE BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4626
Mailing Address - Country:US
Mailing Address - Phone:713-272-6366
Mailing Address - Fax:713-272-6336
Practice Address - Street 1:9110 BELLAIRE BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4626
Practice Address - Country:US
Practice Address - Phone:713-272-6366
Practice Address - Fax:713-272-6336
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK3765208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXK3765OtherSTATE LICENSE NUMBER
TXG57811Medicare UPIN