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General NPI Number Information
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NPI Number | 1457399776
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Entity Type | Individual
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Provider Name | CAROL Y CHIANG M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 10/15/2009
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Provider Practice Location Address
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Address Line | 6620 MAIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2348
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Country | US
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Telephone | 713-798-2300
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Fax | 713-798-2302
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Provider Business Mailing Address
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Address Line | 12951 SOUTH FREEWAY
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City | HOUSTON
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State | TX
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Zip | 77047-1923
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Country | US
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Telephone | 713-526-5771
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Fax | 713-526-2036
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | J5284
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License Number State | TX
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