MEDICARE: AUSTIN CHANG

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	225100000X	Physical Therapist	1407380	TX

General Provider Information

NPI Number	:	1871473652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN CHANG

Provider Business Mailing Address
First Line	:	9330 MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-4575
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9330 MAIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-4575
Country	:	US
Telephone Number	:	713-984-1400
Fax Number	:

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

Provider Enumeration Date	:	09/03/2025
Last Update Date	:	01/15/2026

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Directions to “ AUSTIN CHANG ” Practice Location

Language	Start Address	Practice Location

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