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NPI Code Detail

MEDICARE: DR. KUANG-WEI ERIC CHANG M.D.

MEDICARE: DR. KUANG-WEI ERIC CHANG M.D.
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
12085R0204XVascular & Interventional Radiology PhysicianBP10043648TX
22085R0202XDiagnostic Radiology PhysicianR5986TX
32085B0100XBody Imaging PhysicianBP10043648TX

General Provider Information

NPI Number : 1578820866
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KUANG-WEI ERIC CHANG M.D.
Provider Business Mailing Address
First Line : 4914 JUNE DR
Second Line :
City : EDINBURG
State : TX
Zip : 78539-0044
Country : US
Telephone Number : 512-656-7708
Fax Number :
Provider Business Practice Location Address
First Line : 101 E RIDGE RD
Second Line :
City : MCALLEN
State : TX
Zip : 78503-1847
Country : US
Telephone Number : 254-724-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2012
Last Update Date : 12/03/2024

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