Individual
CHENGRONG ZHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11910 GREENVILLE AVE # 650, DALLAS, TX 75243-3596
(214) 373-9092
Mailing address
6806 SAWMILL RD, DALLAS, TX 75252-5818
(214) 518-9157
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
619878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191140601
—
TX
01
—
88331U
BCBS
TX
Enumeration date
06/19/2007
Last updated
02/10/2010
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