Provider Demographics
NPI:1053776286
Name:WAN, ZHOU (ACUPUNCTURIST)
Entity type:Individual
Prefix:
First Name:ZHOU
Middle Name:
Last Name:WAN
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7001 CORPORATE DR STE 320
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-5130
Mailing Address - Country:US
Mailing Address - Phone:281-903-0036
Mailing Address - Fax:
Practice Address - Street 1:7001 CORPORATE DR
Practice Address - Street 2:SUITE 320
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-5110
Practice Address - Country:US
Practice Address - Phone:281-903-0036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-14
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01095171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist