Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0201X | Internist - Allergy & Immunology | A67939 | CA |
N | 207RC0200X | Critical Care Medicine | 01081155A | IN |
N | 207RC0200X | Critical Care Medicine | A67939 | CA |
N | 207RP1001X | Pulmonary Disease | A67939 | CA |
N | 207RP1001X | Pulmonary Disease | L0073 | TX |
Y | 207RP1001X | Pulmonary Disease | MD.022572 | LA |
NPI | 1689683153 |
---|---|
Provider Name | Eduardo Enrique Chang |
First Address | The Woodlands, TX 77384-4000 |
Second Address | The Woodlands, TX 77384-4001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 08/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A679390 | (05) | CA |
G41045 | (02) |