Chang, Peter Tae-Jin

Chang, Peter Tae-Jin is an individual health care provider with primary practice located at 1977 Butler Blvd , Houston TX 77030-4101. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Chang, Peter Tae-Jin can be contacted via phone (713) 798-6100.

Contact Information

Primary practice address
1977 Butler Blvd Houston TX 77030-4101
Phone: (713) 798-6100
Fax: (713) 798-4082
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X L8645 Texas
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X L8645 Texas

Profile Details

NPI number 1568451797
LBN Legal business name Chang, Peter Tae-Jin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 21st, 2022 - about 3 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 1568451797 NPPES
Texas Other 1038135 BLUE LINK
Texas Other 8G7723 BLUE LINK
Texas MEDICAID 165744702 BLUE LINK
Texas MEDICAID 165744701 BLUE LINK

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