Provider Demographics
NPI:1710262753
Name:CHANG, MARIA CHING-YI (RD, LD, MPH)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:CHING-YI
Last Name:CHANG
Suffix:
Gender:F
Credentials:RD, LD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1885 EL PASEO ST APT 832
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3048
Mailing Address - Country:US
Mailing Address - Phone:713-701-9653
Mailing Address - Fax:267-629-3106
Practice Address - Street 1:1885 EL PASEO ST APT 832
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-3048
Practice Address - Country:US
Practice Address - Phone:713-701-9653
Practice Address - Fax:267-629-3106
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
931691133V00000X
TXDTO7672133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered