Chang, Phyllis Clara
Chang, Phyllis Clara is an individual health care provider with primary practice located at 2206 E Villa Maria Rd , Bryan TX 77802-2547. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Chang, Phyllis Clara can be contacted via phone (979) 776-4600.Contact Information
Primary practice address
2206 E Villa Maria Rd
Bryan TX 77802-2547
Phone: (979) 776-4600
Fax: (979) 774-0877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | H9845 | Texas |
Profile Details
| NPI number | 1316058266 |
|---|---|
| LBN Legal business name | Chang, Phyllis Clara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 5th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316058266 | NPPES |
| Texas | MEDICAID | 132744701 |
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