# BILL K CHANG MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982803433
- **Authorized official:** BILL K CHANG MD (PHYSICIAN)
- **Authorized official phone:** (713) 855-5505

## Contact information

- **Practice address:** 560 BLOSSOM ST, SUITE A, WEBSTER, TX 77598-4236
- **Practice address phone:** (281) 554-8919
- **Practice address fax:** (281) 554-6045
- **Mailing address:** PO BOX 58687, WEBSTER, TX 77598-8687
- **Mailing address phone:** (281) 554-8919
- **Mailing address fax:** (281) 554-6045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/15/2007
- **Last updated:** 10/08/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0040XP | BCBSTX | TX |
| 05 | — | 191236201 | — | TX |
| 01 | — | DG9013 | RRMEDICARE | TX |
