Provider Demographics
NPI:1700992732
Name:ZHANG, XIN (MD)
Entity Type:Individual
Prefix:DR
First Name:XIN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
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:PO BOX 310634
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78131-0634
Mailing Address - Country:US
Mailing Address - Phone:830-608-9300
Mailing Address - Fax:830-626-1727
Practice Address - Street 1:43 YU DR
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2458
Practice Address - Country:US
Practice Address - Phone:830-608-9300
Practice Address - Fax:830-626-1727
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6432208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097031102Medicaid
TX097031102Medicaid
TX742932998OtherTAX ID NUMBER
TX097031102Medicaid