MEDICARE: DR. ANTHONY TED CHUANG D.O.

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	P9541	TX
2	207R00000X	Internal Medicine Physician	P9541	TX

General Provider Information

NPI Number	:	1891082327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY TED CHUANG D.O.

Provider Business Mailing Address
First Line	:	1020 LAKE CARILLON LN
Second Line	:
City	:	SOUTHLAKE
State	:	TX
Zip	:	76092-1359
Country	:	US
Telephone Number	:	214-613-5919
Fax Number	:	214-429-4421

Provider Business Practice Location Address
First Line	:	1820 N LAKE FOREST DR STE 300B
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75071-7653
Country	:	US
Telephone Number	:	214-613-5919
Fax Number	:	214-429-4421

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

Provider Enumeration Date	:	07/05/2011
Last Update Date	:	12/15/2025

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