Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | P7620 | TX |
NPI | 1003098310 |
---|---|
Provider Name | Tiffany Rose Chang |
First Address | Houston, TX 77030-1521 |
Second Address | Houston, TX 77030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2007 |
Last Update Date | 30/01/2020 |