MEDICARE: MINGFANG CHENG MD PA

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
1	207R00000X	Internal Medicine Physician	L6012	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0020PJ	OTHER	TX	BCBSTX

General Provider Information

NPI Number	:	1356486005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINGFANG CHENG MD PA

Provider Business Mailing Address
First Line	:	907 JOLEN CT
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-5326
Country	:	US
Telephone Number	:	713-882-8373
Fax Number	:	713-667-6102

Provider Business Practice Location Address
First Line	:	1300 BINZ ST
Second Line	:	STE 1350
City	:	HOUSTON
State	:	TX
Zip	:	77004-7016
Country	:	US
Telephone Number	:	713-882-3873
Fax Number	:	713-667-6102

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MINGFANG ANNIE CHENG
Credential	:	M.D.
Telephone Number	:	713-882-3873

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	02/27/2008

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