Provider Demographics
NPI:1952818924
Name:ZHANG, XINBO (MD)
Entity Type:Individual
Prefix:
First Name:XINBO
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2524 ARBOR DR
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-2343
Mailing Address - Country:US
Mailing Address - Phone:512-965-4924
Mailing Address - Fax:
Practice Address - Street 1:2524 ARBOR DR
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-2343
Practice Address - Country:US
Practice Address - Phone:512-965-4924
Practice Address - Fax:512-436-3923
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-29
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001028226Medicaid