Can Tangshan change Qian 'an social security card now?

I can't. According to official website of Hebei Social Security Department, the social security card contains two accounts, one is the medical insurance account and the other is the bank card account. The medical insurance account is unique and can only be handled locally by the insured, which is convenient for the accounting and management of social security institutions and cannot be replaced in different places. The Social Security Card of the People's Republic of China is a circuit card for various business fields of human resources and social security, which is uniformly planned by Ministry of Human Resources and Social Security and issued to the society by local human resources and social security departments.