Provider Demographics
NPI:1770756983
Name:XIN ZHANG, MD, PA
Entity type:Organization
Organization Name:XIN ZHANG, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:XIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:830-608-9300
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6432208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097031102Medicaid
TXG48268Medicare UPIN
TX00Z882Medicare PIN