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Organization
BILL K CHANG MD PA
Active
Organization
BILL K CHANG MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL K CHANG MD (PHYSICIAN)
(713) 855-5505
Entity
Organization
Contact information
Practice address
560 BLOSSOM ST, SUITE A, WEBSTER, TX 77598-4236
(281) 554-8919
(281) 554-6045
Mailing address
PO BOX 58687, WEBSTER, TX 77598-8687
(281) 554-8919
(281) 554-6045
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040XP
BCBSTX
TX
05
—
191236201
—
TX
01
—
DG9013
RRMEDICARE
TX
Enumeration date
07/15/2007
Last updated
10/08/2014
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