Individual provider Active NPI

Tianxiang Zhang, PA-C

  • Physician Assistant
  • Humble, TX
National Provider Identifier
1134400930
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-07481 Issued in TX
Practice address
3832 Atascocita Rd
Humble, TX 77396-3533
Phone
(281) 812-0578
NPI assigned
Sep 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-07481 TX Primary

Addresses

Primary practice location

3832 Atascocita Rd
Humble, TX 77396-3533

Mailing address

3832 Atascocita Rd
Humble, TX 77396-3533
Phone (281) 812-0578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916001689 TX Practitioner - Physician Assistant 6800067554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors Express of the Beaumont Area PAGroup PAC ID 5698816882, 211 clinicians
Pine Medical PLLCGroup PAC ID 1850639709, 6 clinicians
Jameson Bowles DO PLLCGroup PAC ID 3678804234, 11 clinicians

Practice addresses (Care Compare)

13621 Skinner Rd
Suite 100
Cypress, TX 77429-7283
Phone (281) 754-3034

1412 S Front St
Bellville, TX 77418-3307
Phone (979) 227-4151

17516 US Hwy 59
Suite 100
New Caney, TX 77357-8718
Phone (832) 855-3080

3195 Dowlen Rd
Suite 105
Beaumont, TX 77706-7272
Phone (409) 860-1888

8850 Spencer Hwy
La Porte, TX 77571-3736
Phone (281) 946-9980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-07481TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Doctors Express, PA PSC Current Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients
Texas Imaging Center LLC PastSince Feb 9, 2020 Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients

Locations

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1134400930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 ATASCOCITA RD",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773963533",
            "telephone_number": "281-812-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3832 ATASCOCITA RD",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773963533",
            "telephone_number": "281-812-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "TIANXIANG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-07",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA-07481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.