Individual
CHANG QING AN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
215 E QUINCY ST BSMT B100, SAN ANTONIO, TX 78215-2031
(210) 299-8000
(210) 299-8099
Mailing address
9102 FLOYD CURL DR, SAN ANTONIO, TX 78240-1553
(210) 782-9528
(512) 597-0841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
14093
CA
363L00000X
Nurse Practitioner
Primary
760675
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218155401
—
TX
Enumeration date
01/10/2008
Last updated
08/19/2016
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