Individual
JEN L CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP125751 / RN 700842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337788901
—
TX
01
—
8753UH
BCBS
TX
Enumeration date
03/25/2014
Last updated
11/10/2014
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