Provider Demographics
NPI:1235208430
Name:CAO, HIEP A (MD)
Entity type:Individual
Prefix:DR
First Name:HIEP
Middle Name:A
Last Name:CAO
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 1:3465 W WALNUT ST STE 211B
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-7140
Mailing Address - Country:US
Mailing Address - Phone:214-794-9448
Mailing Address - Fax:580-256-9267
Practice Address - Street 1:3465 W WALNUT ST STE 211B
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-7140
Practice Address - Country:US
Practice Address - Phone:214-703-9788
Practice Address - Fax:214-703-9799
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8770207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKH22601Medicare UPIN
OK$$$$$$$$$Medicare PIN