Provider Demographics
NPI:1528014800
Name:DO, HA CHIEU (MD)
Entity Type:Individual
Prefix:DR
First Name:HA
Middle Name:CHIEU
Last Name:DO
Suffix:
Gender:F
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:PO BOX 910042
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-0042
Mailing Address - Country:US
Mailing Address - Phone:972-788-1962
Mailing Address - Fax:
Practice Address - Street 1:1600 HOSPITAL PKWY
Practice Address - Street 2:BOX 62
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6913
Practice Address - Country:US
Practice Address - Phone:817-684-2708
Practice Address - Fax:817-685-4579
Is Sole Proprietor?:No
Enumeration Date:2006-05-26
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0705208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1762189-01Medicaid
TX8F3314OtherBCBS
TX176218902Medicaid
TX8M7953OtherBCBS
TXP00251277OtherMEDICARE RAILROAD
TXP00333364OtherRAILROAD MEDICARE
TX1762189-01Medicaid
TX8M7953OtherBCBS
TX176218902Medicaid