Basic Information
| Provider Information | |||||||||
| NPI: | 1265929061 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZHU | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | LEON | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6431 FANNIN STREET | ||||||||
| Address2: | SUITE MSB 1.134 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770305389 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135006500 | ||||||||
| FaxNumber: | 7135006497 | ||||||||
| Practice Location | |||||||||
| Address1: | 6431 FANNIN STREET | ||||||||
| Address2: | SUITE MSB 1.134 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770305389 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7135006500 | ||||||||
| FaxNumber: | 7135006497 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/17/2018 | ||||||||
| LastUpdateDate: | 10/15/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | T3729 | TX | N | Allopathic & Osteopathic Physicians | General Practice | 207R00000X | T3729 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.