Individual
MYONG H. CHANG
Active
Individual
MYONG H. CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
457053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144918301
—
TX
05
—
144918302
—
TX
05
—
144918303
—
TX
05
—
144918304
—
TX
05
—
144918305
—
TX
05
—
144918306
—
TX
05
—
144918307
—
TX
05
—
144918308
—
TX
05
—
144918309
—
TX
05
—
144918310
—
TX
05
—
144918311
—
TX
05
—
144918312
—
TX
01
—
8N4870
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/28/2005
Last updated
04/06/2009
Update your record
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