Individual
SU MIN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643
Mailing address
6550 FANNIN ST, SUITE 1901, HOUSTON, TX 77030-2717
(713) 441-1100
(713) 790-2643
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
45434
WI
207RC0000X
Cardiovascular Disease Physician
Primary
K9499
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1886602
—
LA
05
—
190639801
—
TX
05
—
190639802
—
TX
05
—
190639803
—
TX
05
—
190639806
—
TX
05
—
190639807
—
TX
05
—
34365500
—
WI
01
—
8AH671
BLUE CROSS BLUE SHIELD
TX
01
—
P00459994
RAILROAD MEDICARE
TX
01
—
P01037115
RR MEDICARE
TX
01
—
P01309509
RR MEDICARE
TX
Enumeration date
03/07/2006
Last updated
12/08/2017
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