Individual
DR. JASON MING ZHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215-1625
(210) 226-6169
(210) 226-8365
Mailing address
800 MCCULLOUGH AVE, SAN ANTONIO, TX 78215-1625
(210) 226-6169
(210) 226-8365
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L3204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147561801
SUPERIOR HEALTH
TX
05
—
147561801
—
TX
01
—
180043314
RAILROAD MEDICARE
TX
01
—
741916103N
HUMANA
TX
01
—
742787908
PACIFICARE
TX
01
—
7990308
AETNA
TX
01
—
8782N0
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/12/2005
Last updated
01/09/2008
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