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: |   | ||||||||
OtherNamePrefix: |   | ||||||||
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
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RX0202X | P3535 | TX | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
ID Information
ID | Type | State | Issuer | Description | 51006668 | 01 |   | BCBS OF ALABAMA | OTHER | H448 | 01 | AL | MEDICARE GROUP | OTHER | I938 | 01 | AL | MEDICARE GROUP | OTHER | 51006666 | 01 |   | BCBS OF ALABAMA | OTHER | I939 | 01 | AL | MEDICARE GROUP | OTHER | 51006664 | 01 |   | BCBS OF ALABAMA | OTHER |