Chang-Jackson, Shao-Chun Rose

Chang-Jackson, Shao-Chun Rose is an individual health care provider with primary practice located at 22420 Ih 35 Ste 203 , Kyle TX 78640-2656. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Chang-Jackson, Shao-Chun Rose can be contacted via phone (737) 404-0347.

Contact Information

Primary practice address
22420 Ih 35 Ste 203 Kyle TX 78640-2656
Phone: (737) 404-0347
Fax: (512) 406-6295
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X M9205 Texas

Profile Details

NPI number 1780887034
LBN Legal business name Chang-Jackson, Shao-Chun Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2007
Last updated Jan 8th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780887034 NPPES
Texas MEDICAID 283393109
Texas MEDICAID 283393108

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