MEDICARE: DR. TERENCE M 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
1	207QS0010X	Sports Medicine (Family Medicine) Physician	M7098	TX
2	207Q00000X	Family Medicine Physician	M7098	TX

General Provider Information

NPI Number	:	1831370535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERENCE M CHANG MD

Provider Business Mailing Address
First Line	:	16107 KENSINGTON DR STE 126
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4224
Country	:	US
Telephone Number	:	281-739-5304
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 W 34TH ST STE 1200
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-6256
Country	:	US
Telephone Number	:	281-783-8162
Fax Number	:	713-439-7995

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

Provider Enumeration Date	:	11/21/2007
Last Update Date	:	10/22/2024

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