Doctor Name: | WILLIAM CHANG |
NPI Number: | 1174929574 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 12768 |
Business Practice Address: | 3501 Gus Thomasson Rd Suite 75 Mesquite, TX - 751503699 |
Business Phone Number: | 2972279111 |
Business Fax Number: | |
Mailing Address: | 7177 Gaston Ave, Apt 2308 DALLAS |
State: | TX |
Postal Code: | 752146111 |
Phone Number: | 4137170475 |
Fax Number: | |
NPI Enumeration Date: | 11/12/2014 |
NPI Last Update Date: | 03/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 12768 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |