Provider Demographics
NPI:1265755813
Name:YIN, ZHENGNAN (MD)
Entity type:Individual
Prefix:
First Name:ZHENGNAN
Middle Name:
Last Name:YIN
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 1:9600 BELLAIRE BLVD
Mailing Address - Street 2:#201
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4500
Mailing Address - Country:US
Mailing Address - Phone:713-778-0754
Mailing Address - Fax:713-778-0698
Practice Address - Street 1:9600 BELLAIRE BLVD
Practice Address - Street 2:#201
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4500
Practice Address - Country:US
Practice Address - Phone:713-778-0754
Practice Address - Fax:713-778-0698
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-10
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK27135207P00000X, 207Q00000X
TXN7981207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine