Individual
DR. BINH THAI PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
717 S HOUSTON AVE STE 400, TULSA, OK 74127-9007
(918) 382-4600
(918) 382-3183
Mailing address
717 S HOUSTON AVE STE 400, TULSA, OK 74127-9007
(918) 382-4600
(918) 382-3183
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5049
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200342430A
—
OK
Enumeration date
06/21/2010
Last updated
02/15/2019
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