Provider Demographics
NPI:1124219308
Name:CHERNG, ERIC LEE-AN (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:LEE-AN
Last Name:CHERNG
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 1:7800 PRESTON RD
Mailing Address - Street 2:STE. 300
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3234
Mailing Address - Country:US
Mailing Address - Phone:972-608-3800
Mailing Address - Fax:972-608-3810
Practice Address - Street 1:7800 PRESTON RD
Practice Address - Street 2:STE. 300
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3234
Practice Address - Country:US
Practice Address - Phone:972-608-3800
Practice Address - Fax:972-608-3810
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN5621208000000X
TXBP10029673208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
4661832160OtherMYUTMB 4661832160
TX214808201Medicaid
TXTXB104121Medicare PIN