Provider Demographics
NPI:1235854241
Name:CHANG, QIAN SUN (AC)
Entity Type:Individual
Prefix:
First Name:QIAN
Middle Name:SUN
Last Name:CHANG
Suffix:
Gender:F
Credentials:AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4220 CARTWRIGHT RD STE 803
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5313
Mailing Address - Country:US
Mailing Address - Phone:832-282-5851
Mailing Address - Fax:
Practice Address - Street 1:4220 CARTWRIGHT RD STE 803
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5313
Practice Address - Country:US
Practice Address - Phone:832-282-5851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC02089171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist