Provider Demographics
NPI:1194269886
Name:ZIDON MEDICAL PLLC
Entity type:Organization
Organization Name:ZIDON MEDICAL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:UCHENNA
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:OZUAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-872-1827
Mailing Address - Street 1:10695 ASTORIA DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-9063
Mailing Address - Country:US
Mailing Address - Phone:214-872-1827
Mailing Address - Fax:214-872-1827
Practice Address - Street 1:10695 ASTORIA DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-9063
Practice Address - Country:US
Practice Address - Phone:214-872-1827
Practice Address - Fax:214-872-1827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-14
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty