Provider Demographics
NPI:1750365581
Name:CHENG, MICHAEL MING-KWANG (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:MING-KWANG
Last Name:CHENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9015 GARLAND RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-3920
Mailing Address - Country:US
Mailing Address - Phone:214-747-8800
Mailing Address - Fax:214-747-8801
Practice Address - Street 1:9015 GARLAND RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-3920
Practice Address - Country:US
Practice Address - Phone:214-747-8800
Practice Address - Fax:214-747-8801
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2015-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2284207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176221302Medicaid
TX176221302Medicaid