Basic Information
Provider Information
NPI: 1760869697
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHENG
FirstName: STEVEN
MiddleName: YUN
NamePrefix:  
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: 752845347
CountryCode: US
TelephoneNumber: 4692913369
FaxNumber: 2146450078
Practice Location
Address1: 5323 HARRY HINES BLVD
Address2:  
City: DALLAS
State: TX
PostalCode: 753907539
CountryCode: US
TelephoneNumber: 2146486400
FaxNumber: 2146485461
Other Information
ProviderEnumerationDate: 04/29/2015
LastUpdateDate: 09/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207LC0200XS7161TXY Allopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
207L00000XS7161TXN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LC0200X36150091ILN Allopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine

No ID Information.


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