| Michael Y. Chang, D.o., P.a. | |
|
3115 College Park Dr Ste 107 The Woodlands TX 77384-4001 | |
| (936) 321-6787 | |
| (936) 321-6802 |
| Full Name | Michael Y. Chang, D.o., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 3115 College Park Dr Ste 107, The Woodlands, Texas |
| Authorized Official Name and Position | Michael Y. Chang (PRESIDENT) |
| Authorized Official Contact | 9363216787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Y. Chang, D.o., P.a. 3115 College Park Dr Ste 107 The Woodlands TX 77384-4001 Ph: (936) 321-6787 | Michael Y. Chang, D.o., P.a. 3115 College Park Dr Ste 107 The Woodlands TX 77384-4001 Ph: (936) 321-6787 |
| NPI Number | 1053456582 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 6305940073 |
|---|---|
| Medicare Enrollment ID | O20070406000150 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053456582 | NPI | - | NPPES |
| 187635101 | Medicaid | TX |
| Provider Name | Lin Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720075096 PECOS PAC ID: 5496718652 Enrollment ID: I20041109000184 |
| Provider Name | Michael Y Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346237872 PECOS PAC ID: 2668423104 Enrollment ID: I20050202000447 |
| Provider Name | Richard Nelson Smedley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932677739 PECOS PAC ID: 7719223742 Enrollment ID: I20190114000821 |
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