person
Ethan Chang
Student in an Organized Health Care Education/Training Program in Dallas, Texas
NPI 1679356422

Ethan Chang is a Student in an Organized Health Care Education/Training Program based in Dallas, TX. Ethan Chang practices in Dallas, TX. The NPI Number for Ethan Chang is 1679356422 and holds a License No. (Texas).

The current practice location address for Ethan Chang is 3302 Gaston Ave, Dallas, TX and can be reached out via phone at 214-828-8215.

Location: 3302 Gaston Ave, Dallas, TX, 75246-2013
person
Provider Profile Details
NPI Number
1679356422
Provider Name
Ethan Chang
Credential
Provider Entity Type
Individual
Gender
Male
Address
3302 Gaston Ave, Dallas, TX, 75246-2013
Phone Number
214-828-8215
Fax Number
Provider Enumeration Date
08/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3302 Gaston Ave
City
State
Zip
75246-2013
Phone Number
214-828-8215
Fax Number
person
Provider Business Mailing Address Details
Address
3302 Gaston Ave
City
State
Zip
75246-2013
Phone Number
214-828-8215
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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