Provider Demographics
NPI:1922638139
Name:ZENG, JANG NGA (PA-C)
Entity Type:Individual
Prefix:
First Name:JANG
Middle Name:NGA
Last Name:ZENG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5980 KINGFISHER BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:FL
Mailing Address - Zip Code:33470
Mailing Address - Country:US
Mailing Address - Phone:561-809-3838
Mailing Address - Fax:
Practice Address - Street 1:3600 GASTON AVE STE 360
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1903
Practice Address - Country:US
Practice Address - Phone:214-820-7246
Practice Address - Fax:214-310-0421
Is Sole Proprietor?:No
Enumeration Date:2020-01-16
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9112456363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant