Individual
MICHELLE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1975 ALPHA DR, ROCKWALL, TX 75087-4951
(214) 294-6200
Mailing address
8914 WATERS LN, ROWLETT, TX 75089-4879
(856) 673-6093
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA10702900
NJ
207P00000X
Emergency Medicine Physician
Primary
S8163
TX
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
.
—
NJ
Enumeration date
07/12/2017
Last updated
03/06/2023
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