MEDICARE: LAUREN JOYCE CHIANG

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	363A00000X	Physician Assistant
2	363A00000X	Physician Assistant	PA18072	TX

General Provider Information

NPI Number	:	1013773654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN JOYCE CHIANG

Provider Business Mailing Address
First Line	:	450 CYPRESS CREEK RD BLDG 5
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-4194
Country	:	US
Telephone Number	:	512-249-1400
Fax Number	:	512-506-9622

Provider Business Practice Location Address
First Line	:	450 CYPRESS CREEK RD BLDG 5
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78613-4194
Country	:	US
Telephone Number	:	512-249-1400
Fax Number	:	512-506-9622

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2024
Last Update Date	:	03/29/2026

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