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NPI Code Detail

MEDICARE: EDGARD JOSE CHENG

MEDICARE:   EDGARD JOSE CHENG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist1298728TX

General Provider Information

NPI Number : 1144781840
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDGARD JOSE CHENG
Provider Business Mailing Address
First Line : 14181 NOEL RD APT 9106
Second Line :
City : DALLAS
State : TX
Zip : 75254-7363
Country : US
Telephone Number : 305-469-3618
Fax Number :
Provider Business Practice Location Address
First Line : 4825 ALLIANCE BLVD STE 200
Second Line :
City : PLANO
State : TX
Zip : 75093-5504
Country : US
Telephone Number : 469-814-2556
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2019
Last Update Date : 09/08/2021

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Directions to “ EDGARD JOSE CHENG ” Practice Location

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