Chang, Baochong B

Chang, Baochong B is an individual health care provider with primary practice located at 3420 Pine Ave , Waco TX 76708-3130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Chang, Baochong B can be contacted via phone (254) 752-2900.

Contact Information

Primary practice address
3420 Pine Ave Waco TX 76708-3130
Phone: (254) 752-2900
Fax: (254) 752-2902
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L8302 Texas
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X L8302 Texas

Profile Details

NPI number 1790851525
LBN Legal business name Chang, Baochong B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2006
Last updated Dec 9th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790851525 NPPES
Texas MEDICAID 1645061

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