Basic Information
Provider Information
NPI: 1265099394
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GIANG
FirstName: JONNEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7 SPANISH BAY CT N
Address2:  
City: MANVEL
State: TX
PostalCode: 775782533
CountryCode: US
TelephoneNumber: 7139221706
FaxNumber:  
Practice Location
Address1: 22999 HIGHWAY 59 N
Address2:  
City: KINGWOOD
State: TX
PostalCode: 773394412
CountryCode: US
TelephoneNumber: 2813488000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/23/2019
LastUpdateDate: 05/23/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP141650TXY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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