Provider Demographics
NPI:1396974507
Name:ZHONG, BAISONG (LAC)
Entity type:Individual
Prefix:
First Name:BAISONG
Middle Name:
Last Name:ZHONG
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2539 S GESSNER
Mailing Address - Street 2:SUITE 25
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2028
Mailing Address - Country:US
Mailing Address - Phone:713-922-8179
Mailing Address - Fax:281-497-2082
Practice Address - Street 1:2539 S GESSNER RD
Practice Address - Street 2:SUITE 25
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2034
Practice Address - Country:US
Practice Address - Phone:713-922-8179
Practice Address - Fax:281-497-2082
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXTX AC000748171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist