Provider Demographics
NPI:1497089189
Name:CHEN ZHOU MD PA
Entity Type:Organization
Organization Name:CHEN ZHOU MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHOU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-258-8300
Mailing Address - Street 1:12505 HYMEADOW DR
Mailing Address - Street 2:BUILDING 2, SUITE B
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1848
Mailing Address - Country:US
Mailing Address - Phone:512-258-8300
Mailing Address - Fax:512-258-8312
Practice Address - Street 1:12505 HYMEADOW DR
Practice Address - Street 2:BUILDING 2, SUITE B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1848
Practice Address - Country:US
Practice Address - Phone:512-258-8300
Practice Address - Fax:512-258-8312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8453207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0021SVOtherBCBS GROUP NUMBER
TX0A5467Medicare PIN