Provider Demographics
NPI:1164617577
Name:SON N GIEP M D P A
Entity Type:Organization
Organization Name:SON N GIEP M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SON
Authorized Official - Middle Name:NGUYEN
Authorized Official - Last Name:GIEP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-370-3083
Mailing Address - Street 1:6124 W. PARKER RD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093
Mailing Address - Country:US
Mailing Address - Phone:972-370-3083
Mailing Address - Fax:214-501-2266
Practice Address - Street 1:6124 W. PARKER RD
Practice Address - Street 2:SUITE 330
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093
Practice Address - Country:US
Practice Address - Phone:972-370-3083
Practice Address - Fax:214-501-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0199207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W337Medicare PIN