Provider Demographics
NPI:1922026509
Name:CHIANG, TED K (MD)
Entity Type:Individual
Prefix:DR
First Name:TED
Middle Name:K
Last Name:CHIANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16170 JONES MALTSBERGER RD
Mailing Address - Street 2:STE 106
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-3202
Mailing Address - Country:US
Mailing Address - Phone:210-485-1844
Mailing Address - Fax:210-399-2730
Practice Address - Street 1:19522 BROOKE PL
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-2784
Practice Address - Country:US
Practice Address - Phone:210-485-1846
Practice Address - Fax:210-399-2731
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2021-09-20
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Provider Licenses
StateLicense IDTaxonomies
TXK3129207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8W6541OtherBLUE CROSS BLUE SHIELD
TX046152702Medicaid
TX8F4313Medicare PIN