Provider Demographics
NPI:1891748588
Name:CHANG-TUNG, ERIC G (M D)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:G
Last Name:CHANG-TUNG
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8210 WALNUT HILL LN STE 505
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4420
Mailing Address - Country:US
Mailing Address - Phone:214-345-4160
Mailing Address - Fax:214-345-4160
Practice Address - Street 1:8210 WALNUT HILL LN STE 505
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4420
Practice Address - Country:US
Practice Address - Phone:214-345-4160
Practice Address - Fax:214-345-4165
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4907208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)