Individual
PETER CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
6565 WEST LOOP STH, STE 300, BELLAIRE, TX 77401
(713) 479-1100
(713) 629-6032
Mailing address
P.O. BOX 272629, HOUSTON, TX 77077-2629
(713) 479-1100
(713) 629-6032
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
F9292
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128025703
—
TX
Enumeration date
10/14/2005
Last updated
03/24/2014
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