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NPI Code Detail

MEDICARE: JOANNA JINGHAN CHANG MD

MEDICARE: JOANNA JINGHAN CHANG MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
22084N0400XNeurology PhysicianT5498TX

General Provider Information

NPI Number : 1346738903
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNA JINGHAN CHANG MD
Provider Business Mailing Address
First Line : 9090 KATY FWY STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1696
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9090 KATY FWY STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77024-1696
Country : US
Telephone Number : 832-522-8720
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2018
Last Update Date : 03/14/2024

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