Basic Information
Provider Information
NPI: 1306812573
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZEH
FirstName: HERBERT
MiddleName: JOHN
NamePrefix: DR.
NameSuffix: III
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5323 HARRY HINES BLVD # MC9031
Address2:  
City: DALLAS
State: TX
PostalCode: 753909031
CountryCode: US
TelephoneNumber: 2146483509
FaxNumber:  
Practice Location
Address1: 2201 INWOOD ROAD 5TH FLOOR SUITE 920
Address2:  
City: DALLAS
State: TX
PostalCode: 75390
CountryCode: US
TelephoneNumber: 2146454673
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/27/2006
LastUpdateDate: 05/16/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000XR6718TXN Other Service ProvidersSpecialist 
208600000XR6718TXN Allopathic & Osteopathic PhysiciansSurgery 
2086X0206XR6718TXY Allopathic & Osteopathic PhysiciansSurgerySurgical Oncology

No ID Information.


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