Provider Demographics
NPI:1942453444
Name:ZHANG, LILY (MD)
Entity type:Individual
Prefix:DR
First Name:LILY
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 PEMBERTON RDG
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-3765
Mailing Address - Country:US
Mailing Address - Phone:469-855-8479
Mailing Address - Fax:
Practice Address - Street 1:ONE BAYLOR PLAZA, MAIL STOP BCM620
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77037
Practice Address - Country:US
Practice Address - Phone:713-798-0284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN1502207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB110406Medicare PIN
TXTXB105868Medicare PIN