Individual
PETER CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6402 DRY CLIFF CV, AUSTIN, TX 78731-3918
(512) 459-5158
(512) 450-1056
Mailing address
6402 DRY CLIFF CV, AUSTIN, TX 78731-3918
(512) 459-5158
(512) 450-1056
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
F5492
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128025706
—
TX
05
—
132497210
—
TX
05
—
132497211
—
TX
05
—
DG697
—
TX
Enumeration date
03/31/2006
Last updated
12/21/2015
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