MEDICARE: ALBERT R CHANG D.C.

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	111N00000X	Chiropractor	5834	TX
2	111N00000X	Chiropractor	21867	CA

General Provider Information

NPI Number	:	1902011075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALBERT R CHANG D.C.

Provider Business Mailing Address
First Line	:	3923 DIAMONDALE CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-8006
Country	:	US
Telephone Number	:	281-895-3987
Fax Number	:

Provider Business Practice Location Address
First Line	:	3923 DIAMONDALE CT
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-8006
Country	:	US
Telephone Number	:	281-895-3987
Fax Number	:

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

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	10/03/2013

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Directions to “ ALBERT R CHANG D.C.” Practice Location

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