Individual
MIRIAM CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(614) 592-4811
Mailing address
8 CYPRESS AVE, CALDWELL, NJ 07006-4019
(614) 592-4811
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
NU60324850
WA
133V00000X
Registered Dietitian
Primary
DT88627
TX
133V00000X
Registered Dietitian
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Other
Enumeration date
07/10/2014
Last updated
07/13/2023
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