Provider Demographics
NPI:1558361287
Name:JIANG, CHULING GINGER (MD, MPH)
Entity Type:Individual
Prefix:MRS
First Name:CHULING
Middle Name:GINGER
Last Name:JIANG
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:375 MUNICIPAL DR
Mailing Address - Street 2:SUITE 244
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3624
Mailing Address - Country:US
Mailing Address - Phone:972-907-8554
Mailing Address - Fax:972-907-8669
Practice Address - Street 1:375 MUNICIPAL DR
Practice Address - Street 2:SUITE 244
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3624
Practice Address - Country:US
Practice Address - Phone:972-907-8554
Practice Address - Fax:972-907-8669
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH1789207K00000X, 208000000X
TXH-1789207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000Z57Medicare PIN
TXC17456Medicare UPIN