MEDICARE: DR. HUI-MING 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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	J4744	TX

General Provider Information

NPI Number	:	1316095813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUI-MING CHANG M.D.

Provider Business Mailing Address
First Line	:	4012 VILLANOVA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-3644
Country	:	US
Telephone Number	:	713-668-8330
Fax Number	:

Provider Business Practice Location Address
First Line	:	4012 VILLANOVA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-3644
Country	:	US
Telephone Number	:	713-668-8330
Fax Number	:

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	07/08/2007

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