Provider Demographics
NPI:1962463679
Name:CLAIRE H CHANG MD PA
Entity Type:Organization
Organization Name:CLAIRE H CHANG MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MS
Authorized Official - First Name:CLAIRE
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD PA
Authorized Official - Phone:713-988-8595
Mailing Address - Street 1:PO BOX 6678
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77265
Mailing Address - Country:US
Mailing Address - Phone:713-988-8595
Mailing Address - Fax:713-988-3244
Practice Address - Street 1:1200 BINZ
Practice Address - Street 2:STE 1220
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004
Practice Address - Country:US
Practice Address - Phone:713-988-8595
Practice Address - Fax:713-988-3244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0069GXOtherBLUE CROSS BLUE SHIELD
TXDD3155OtherRAILROAD MEDICARE
TXP00220702OtherRAILROAD MEDICARE
TX8D4280Medicare ID - Type Unspecified
TXDD3155OtherRAILROAD MEDICARE
0069GXOtherBLUE CROSS BLUE SHIELD
TXP00220702OtherRAILROAD MEDICARE