Provider Demographics
NPI:1093013724
Name:MA, THIEN CAO (DC)
Entity Type:Individual
Prefix:DR
First Name:THIEN
Middle Name:CAO
Last Name:MA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 SEVEN CORNERS PL
Mailing Address - Street 2:SUITE F
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2009
Mailing Address - Country:US
Mailing Address - Phone:703-209-7299
Mailing Address - Fax:
Practice Address - Street 1:6400 SEVEN CORNERS PL
Practice Address - Street 2:SUITE F
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2009
Practice Address - Country:US
Practice Address - Phone:703-209-7299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104556939111N00000X
TX11668111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor