Provider Demographics
NPI:1982137782
Name:CHANG, COURTNEY MEAGAN (MD)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:MEAGAN
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16659 SOUTHWEST FWY STE 401
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2378
Mailing Address - Country:US
Mailing Address - Phone:281-276-5280
Mailing Address - Fax:
Practice Address - Street 1:16659 SOUTHWEST FWY STE 401
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2378
Practice Address - Country:US
Practice Address - Phone:281-276-5280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-07
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT5845208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology