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NPI Code Detail

MEDICARE: HIEP A CAO MD

MEDICARE: HIEP A CAO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1$$$$$$$$$OTHEROKNPI SOCIAL SECURITY NUMBE

General Provider Information

NPI Number : 1912113374
Entity Type Code : Organization
Provider Name (Legal Business Name) : HIEP A CAO MD
Provider Business Mailing Address
First Line : 1824 KANSAS AVE
Second Line :
City : WOODWARD
State : OK
Zip : 73801-2912
Country : US
Telephone Number : 580-256-9263
Fax Number : 580-256-9267
Provider Business Practice Location Address
First Line : 1824 KANSAS AVE
Second Line :
City : WOODWARD
State : OK
Zip : 73801-2912
Country : US
Telephone Number : 580-256-9263
Fax Number : 580-256-9267
Authorized Official
Title or Position : M.D.
Name : DR. HIEP ANDREW CAO
Credential : M.D.
Telephone Number : 580-256-9263
Provider Enumeration Date : 05/15/2007
Last Update Date : 05/21/2020

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Directions to “HIEP A CAO MD ” Practice Location

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