Provider Demographics
NPI:1639512643
Name:UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH
Entity type:Organization
Organization Name:UNIVERSITY OF TEXAS SCHOOL OF PUBLIC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE PROFESSOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ZHI-DONG
Authorized Official - Middle Name:
Authorized Official - Last Name:JIANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-500-9371
Mailing Address - Street 1:1200 HERMANN PRESSLER DR
Mailing Address - Street 2:ROOM 741
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1200 HERMANN PRESSLER DR
Practice Address - Street 2:ROOM 741
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3900
Practice Address - Country:US
Practice Address - Phone:713-500-9371
Practice Address - Fax:713-500-9359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX45D2038716291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory