Provider Demographics
NPI:1760468649
Name:KU, ANDREA ZU-MEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:ZU-MEN
Last Name:KU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0853
Mailing Address - Country:US
Mailing Address - Phone:972-233-1999
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:12222 MERIT DR STE 600
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-3294
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:972-715-9976
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6066207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1181315007Medicaid
TX118131508Medicaid
TX118131506Medicaid
TX050065905OtherRAILROAD
TX118131501Medicaid
TX118131505Medicaid
TX118131502Medicaid
TX118131509Medicaid
TX84730KOtherBCBS
TX8EH509OtherBCBS TX
TX118131504Medicaid
TX118131506Medicaid
TX118131502Medicaid
TX050065905OtherRAILROAD
TX118131505Medicaid
TX88998KMedicare PIN
TXTXB104052Medicare PIN
TX118131509Medicaid