Chang, Yao Jen

Chang, Yao Jen is an individual health care provider with primary practice located at 1300 W Terrell Ave Ste 400 , Fort Worth TX 76104-2829. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Chang, Yao Jen can be contacted via phone (817) 250-7247.

Contact Information

Primary practice address
1300 W Terrell Ave Ste 400 Fort Worth TX 76104-2829
Phone: (817) 250-7247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 042-0016188-COMP Vermont
Allopathic & Osteopathic Physicians / Urology 208800000X A85089 California
Allopathic & Osteopathic Physicians / Urology 208800000X S7187 Texas

Profile Details

NPI number 1992883805
LBN Legal business name Chang, Yao Jen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 22nd, 2023 - about last year

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 1992883805 NPPES
California MEDICAID 00A850890

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