Provider Demographics
NPI:1508061953
Name:WARE, ZENITHE CHEVON (MD)
Entity type:Individual
Prefix:
First Name:ZENITHE
Middle Name:CHEVON
Last Name:WARE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ZENITHE
Other - Middle Name:CHEVON
Other - Last Name:PIERRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14903 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-2603
Mailing Address - Country:US
Mailing Address - Phone:713-363-7640
Mailing Address - Fax:281-333-3509
Practice Address - Street 1:14903 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-2603
Practice Address - Country:US
Practice Address - Phone:713-363-7640
Practice Address - Fax:281-333-3509
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-17
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9279208000000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX286423305Medicaid
TX8FZ817OtherBLUE CROSS BLUE SHIELD
TX8FZ817OtherBLUE CROSS BLUE SHIELD