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NPI Code Detail

MEDICARE: YAN PING CHANG PTA

MEDICARE: YAN PING CHANG PTA
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
1320700000XPhysical Disabilities Residential Treatment Facility

General Provider Information

NPI Number : 1053511139
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAN PING CHANG PTA
Provider Business Mailing Address
First Line : 3622 VILLAVERDE AVE APT 114
Second Line :
City : DALLAS
State : TX
Zip : 75234-8027
Country : US
Telephone Number : 682-429-4206
Fax Number :
Provider Business Practice Location Address
First Line : 8502 EDGEMERE RD
Second Line :
City : DALLAS
State : TX
Zip : 75225-3523
Country : US
Telephone Number : 214-615-7045
Fax Number : 214-695-5598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2007
Last Update Date : 07/18/2007

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Directions to “ YAN PING CHANG PTA” Practice Location

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