Provider Demographics
NPI:1467648865
Name:CRAIG G. CHANG, M.D., P.A.
Entity Type:Organization
Organization Name:CRAIG G. CHANG, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING/INSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-570-8585
Mailing Address - Street 1:6502 NURSERY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-1178
Mailing Address - Country:US
Mailing Address - Phone:361-570-8585
Mailing Address - Fax:361-570-8586
Practice Address - Street 1:6502 NURSERY DR
Practice Address - Street 2:SUITE 300
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-1178
Practice Address - Country:US
Practice Address - Phone:361-570-8585
Practice Address - Fax:361-570-8586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2033458-01Medicaid
TX1322950-17Medicaid
TX1306802814OtherINDIVIDUAL NPI