MEDICARE: SAM THIO SUM-PING 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
1	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	N1969	TX
2	207L00000X	Anesthesiology Physician	N1969	TX

General Provider Information

NPI Number	:	1982718300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAM THIO SUM-PING MD

Provider Business Mailing Address
First Line	:	5825 DEER PARK LN
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4732
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5825 DEER PARK LN
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75093-4732
Country	:	US
Telephone Number	:	972-473-4999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	08/19/2024

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Directions to “ SAM THIO SUM-PING MD” Practice Location

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