Healthcare Provider Details

I. General information

NPI: 1831568971
Provider Name (Legal Business Name): SYDNEY CHANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2015
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 SOUTHWEST PKWY STE 350
AUSTIN TX
78735-8985
US

IV. Provider business mailing address

5301 SOUTHWEST PKWY STE 350
AUSTIN TX
78735-8985
US

V. Phone/Fax

Practice location:
  • Phone: 737-497-9944
  • Fax: 855-227-8137
Mailing address:
  • Phone: 737-497-9944
  • Fax: 855-227-8137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberU0762
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: