Provider Demographics
NPI:1801839253
Name:GIEP, SON NGUYEN (MD)
Entity Type:Individual
Prefix:
First Name:SON
Middle Name:NGUYEN
Last Name:GIEP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6124 W PARKER RD STE 330
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8125
Mailing Address - Country:US
Mailing Address - Phone:972-370-3083
Mailing Address - Fax:214-501-2266
Practice Address - Street 1:6124 W PARKER RD STE 330
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8125
Practice Address - Country:US
Practice Address - Phone:972-370-3083
Practice Address - Fax:214-501-2266
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0199207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7454145OtherAETNA
TX0065NGOtherBCBS
TX8F2680Medicare PIN
TX0065NGOtherBCBS