Provider Demographics
NPI:1316981392
Name:CHANG, CHING-YEN JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:CHING-YEN
Middle Name:JOSEPH
Last Name:CHANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10740 N GESSNER DR
Mailing Address - Street 2:STE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1240
Mailing Address - Country:US
Mailing Address - Phone:281-897-0416
Mailing Address - Fax:281-890-8908
Practice Address - Street 1:7900 FANNIN ST
Practice Address - Street 2:STE 1800
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2952
Practice Address - Country:US
Practice Address - Phone:713-791-9363
Practice Address - Fax:713-795-0488
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9997207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX271705OtherBEECHSTREET
TX133158909Medicaid
TXP00357857Medicare PIN
TX8G7066Medicare PIN
TX133158909Medicaid