Individual
YAO JEN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 W TERRELL AVE STE 400, FORT WORTH, TX 76104-2829
(817) 250-7247
Mailing address
1300 W TERRELL AVE STE 400, FORT WORTH, TX 76104-2829
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
042-0016188-COMP
VT
208800000X
Urology Physician
A85089
CA
208800000X
Urology Physician
Primary
S7187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A850890
—
CA
Enumeration date
11/01/2006
Last updated
10/06/2025
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