Provider Demographics
NPI:1730311150
Name:GIANG, TONY (DC)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:
Last Name:GIANG
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 1:428 REALTY DR
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7749
Mailing Address - Country:US
Mailing Address - Phone:504-444-2626
Mailing Address - Fax:
Practice Address - Street 1:428 REALTY DR
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7749
Practice Address - Country:US
Practice Address - Phone:504-906-2131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-18
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1527111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor