Individual
RICHARD RAY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 922-7070
Mailing address
13737 NOEL RD, SUITE 1600, DALLAS, TX 75240-1331
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301096556
MI
207P00000X
Emergency Medicine Physician
Primary
P6353
TX
390200000X
Student in an Organized Health Care Education/Training Program
4301096556
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P6353
TEXAS STATE MEDICAL BOARD
TX
Enumeration date
06/08/2010
Last updated
06/05/2014
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