| Zeng Medical Inc | |
|
1964 Bella Sera Dr Edmond OK 73034-2516 | |
| (405) 531-0246 | |
| Not Available |
| Full Name | Zeng Medical Inc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1964 Bella Sera Dr, Edmond, Oklahoma |
| Authorized Official Name and Position | Wenjia Zeng (PROVIDER) |
| Authorized Official Contact | 4055310246 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zeng Medical Inc Po Box 610 Canute OK 73626-0610 Ph: (405) 531-0246 | Zeng Medical Inc 1964 Bella Sera Dr Edmond OK 73034-2516 Ph: (405) 531-0246 |
| NPI Number | 1265900807 |
|---|---|
| Provider Enumeration Date | 11/12/2018 |
| Last Update Date | 11/12/2018 |
| Medicare PECOS PAC ID | 3971847005 |
|---|---|
| Medicare Enrollment ID | O20181130001159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265900807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Wenjia Zeng |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1659480051 PECOS PAC ID: 6901708056 Enrollment ID: I20111115000330 |
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