# DR. RICHARD C CHANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1831195882
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | A86339 | CA | Yes |
| 208000000X | Pediatrics Physician | L0074 | TX | — |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 11/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 160280701 | — | TX |
| 01 | — | 760530251 | TAX ID | TX |
| 01 | — | 8G2996 | BLUE CROSS & BLUE SHIELD | TX |
| 01 | — | A86339 | CALIFORNIA MEDICAL LICENSE | CA |
| 01 | — | L0074 | MEDICAL LICENSE | TX |
