Individual
JIA WEN JESSICA CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 UNIVERSITY BLVD, ROUND ROCK, TX 78665-1032
(512) 509-0100
(512) 218-6330
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A131810
CA
207P00000X
Emergency Medicine Physician
Primary
Q7540
TX
Other
Enumeration date
06/05/2013
Last updated
08/25/2021
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