Provider Demographics
NPI:1245897297
Name:ZHAN, CHAOJUN (DC)
Entity type:Individual
Prefix:
First Name:CHAOJUN
Middle Name:
Last Name:ZHAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5454 SURREY PATH STE 201
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9582
Mailing Address - Country:US
Mailing Address - Phone:972-292-0870
Mailing Address - Fax:
Practice Address - Street 1:5454 SURREY PATH STE 201
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9582
Practice Address - Country:US
Practice Address - Phone:972-292-0870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-24
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14085111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor