Individual
DR. EDWARD MING-TAI CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2585
Mailing address
3010 IRA YOUNG DR, APARTMENT 801, TEMPLE, TX 76504-6300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
N2030
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2008
Last updated
02/24/2011
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