Provider Demographics
NPI:1225479538
Name:CHOU, JANG-CHING (DDS, MS)
Entity Type:Individual
Prefix:
First Name:JANG-CHING
Middle Name:
Last Name:CHOU
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 NAVARRO ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-1825
Mailing Address - Country:US
Mailing Address - Phone:502-852-6928
Mailing Address - Fax:
Practice Address - Street 1:711 NAVARRO ST STE 101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-1711
Practice Address - Country:US
Practice Address - Phone:210-222-8260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-15
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY9536122300000X
TX356001223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No122300000XDental ProvidersDentist