Individual
JENNY C CHANG
Active
Individual
JENNY C CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
L5272
TX
207RX0202X
Medical Oncology Physician
Primary
L5272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046676502
—
TX
05
—
046676503
—
TX
05
—
046676504
—
TX
01
—
1487734810
BCBS
TX
01
—
P00890726
MEDICARE RR
TX
01
—
P01030948
RR MEDICARE
TX
Enumeration date
10/17/2006
Last updated
03/08/2016
Update your record
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