Basic Information
Provider Information
NPI: 1477504611
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HE
FirstName: ZENING
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 221 N KANSAS ST
Address2: STE. 1501
City: EL PASO
State: TX
PostalCode: 799011443
CountryCode: US
TelephoneNumber: 9155469200
FaxNumber: 9155469800
Practice Location
Address1: 7812 GATEWAY BLVD E
Address2: SUITE 120
City: EL PASO
State: TX
PostalCode: 799151803
CountryCode: US
TelephoneNumber: 9155983888
FaxNumber: 9155982888
Other Information
ProviderEnumerationDate: 05/12/2006
LastUpdateDate: 04/01/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RX0202XP3535TXY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

ID Information
IDTypeStateIssuerDescription
5100666801 BCBS OF ALABAMAOTHER
H44801ALMEDICARE GROUPOTHER
I93801ALMEDICARE GROUPOTHER
5100666601 BCBS OF ALABAMAOTHER
I93901ALMEDICARE GROUPOTHER
5100666401 BCBS OF ALABAMAOTHER


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