Healthcare Provider Details

I. General information

NPI: 1609094093
Provider Name (Legal Business Name): NEWBORN INTENSIVE CARE SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 04/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13211 HARGRAVE RD
HOUSTON TX
77070-4311
US

IV. Provider business mailing address

PO BOX 691287
HOUSTON TX
77269-1287
US

V. Phone/Fax

Practice location:
  • Phone: 281-477-8660
  • Fax: 281-477-8662
Mailing address:
  • Phone: 281-477-8660
  • Fax: 281-477-8662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TUNG GIEP
Title or Position: OWNER
Credential: M.D.
Phone: 281-477-8660