Provider Demographics
NPI:1306959440
Name:ZHANG, XIAODONG (DC, LAC)
Entity type:Individual
Prefix:
First Name:XIAODONG
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13140 COIT RD
Mailing Address - Street 2:SUITE 516
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5755
Mailing Address - Country:US
Mailing Address - Phone:972-931-6736
Mailing Address - Fax:972-690-4478
Practice Address - Street 1:13140 COIT RD
Practice Address - Street 2:SUITE 516
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5755
Practice Address - Country:US
Practice Address - Phone:972-931-6736
Practice Address - Fax:972-690-4478
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8488111N00000X
TXAC00381171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F2235Medicare ID - Type Unspecified
TXV08105Medicare UPIN