Miriam Chang
Dietitian, Registered in Austin, TX. Individual provider (NPI-1).
NPI number1154737005
StatusActive
Last updated in NPPESJul 13, 2023
Details
- NPI
- 1154737005
- Entity type
- Individual (NPI-1)
- Name
- Miriam Chang
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2014
- Certification date
- Jul 13, 2023
- Last updated
- Jul 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT88627 | TX | Yes |
| 133N00000X | Nutritionist | NU60324850 | WA | |
| 133V00000X | Dietitian, Registered | – | – |
Practice location
3724 Jefferson St Ste 104Austin, TX 78731-6204
Phone 614-592-4811
Mailing address
8 Cypress AveCaldwell, NJ 07006-4019
Phone 614-592-4811
Other practice locations
35 Miller Ave Ste 273
Mill Valley, CA 94941-1903
Mill Valley, CA 94941-1903
Phone 415-302-3651
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