Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | M3980 | TX |
NPI | 1043321698 |
---|---|
Provider Name | Dr. Bill K Chang |
First Address | Webster, TX 77598-8687 |
Second Address | Houston, TX 77058-2706 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 23/07/2021 |