Provider Demographics
NPI:1144015959
Name:PANG, JONATHAN CHUNG-EN
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:CHUNG-EN
Last Name:PANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST STE 2700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1539
Mailing Address - Country:US
Mailing Address - Phone:713-486-5000
Mailing Address - Fax:713-383-1410
Practice Address - Street 1:6400 FANNIN ST STE 2700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1539
Practice Address - Country:US
Practice Address - Phone:713-486-5000
Practice Address - Fax:713-383-1410
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program