Provider Demographics
NPI:1356486005
Name:MINGFANG CHENG MD PA
Entity Type:Organization
Organization Name:MINGFANG CHENG MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MINGFANG
Authorized Official - Middle Name:ANNIE
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-882-3873
Mailing Address - Street 1:907 JOLEN CT
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5326
Mailing Address - Country:US
Mailing Address - Phone:713-882-8373
Mailing Address - Fax:713-667-6102
Practice Address - Street 1:1300 BINZ ST
Practice Address - Street 2:STE 1350
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7016
Practice Address - Country:US
Practice Address - Phone:713-882-3873
Practice Address - Fax:713-667-6102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6012207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0020PJOtherBCBSTX
TXH27043Medicare UPIN
TX0020PJOtherBCBSTX