Individual
GUS QIONG ZHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-5555
(214) 648-9627
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-5555
(214) 648-9627
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
Q1778
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2012
Last updated
08/10/2016
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