Individual
MICHAEL L CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2138 MCCLENDON ST, HOUSTON, TX 77030-2110
(615) 293-5790
Mailing address
PO BOX 24125, FORT WORTH, TX 76124-1125
(817) 451-4208
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K4651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152267402
—
TX
01
—
8P5334
BLUE CROSS & BLUE SHIELD
TX
Enumeration date
10/17/2006
Last updated
05/04/2020
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