Individual
DR. BAOCHONG B CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3420 PINE AVE, WACO, TX 76708-3130
(254) 752-2900
(254) 752-2902
Mailing address
3420 PINE AVE, WACO, TX 76708-3130
(254) 752-2900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L8302
TX
207RH0003X
Hematology & Oncology Physician
72762
WI
207RH0003X
Hematology & Oncology Physician
Primary
L8302
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1645061
—
TX
Enumeration date
11/24/2006
Last updated
10/08/2024
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