Provider Demographics
NPI:1912113374
Name:HIEP A CAO MD
Entity Type:Organization
Organization Name:HIEP A CAO MD
Other - Org Name:E-CARE PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:HIEP
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:CAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:580-256-9263
Mailing Address - Street 1:1824 KANSAS AVE
Mailing Address - Street 2:
Mailing Address - City:WOODWARD
Mailing Address - State:OK
Mailing Address - Zip Code:73801-2912
Mailing Address - Country:US
Mailing Address - Phone:580-256-9263
Mailing Address - Fax:580-256-9267
Practice Address - Street 1:1824 KANSAS AVE
Practice Address - Street 2:
Practice Address - City:WOODWARD
Practice Address - State:OK
Practice Address - Zip Code:73801-2912
Practice Address - Country:US
Practice Address - Phone:580-256-9263
Practice Address - Fax:580-256-9267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK$$$$$$$$$OtherNPI SOCIAL SECURITY NUMBE
OK471941946Medicare PIN
OKH22601Medicare UPIN