Basic Information
Provider Information
NPI: 1083858443
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHANG
FirstName: TIAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 845347
Address2:  
City: DALLAS
State: TX
PostalCode: 752847208
CountryCode: US
TelephoneNumber: 2146484180
FaxNumber: 2146481995
Practice Location
Address1: 2201 INWOOD RD FL 3
Address2:  
City: DALLAS
State: TX
PostalCode: 752357320
CountryCode: US
TelephoneNumber: 2146454673
FaxNumber: 2146452542
Other Information
ProviderEnumerationDate: 04/28/2009
LastUpdateDate: 10/01/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RX0202X32452503NCY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

No ID Information.


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