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Individual

THERESA THU ANH THAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
5800 BELLAIRE BLVD, BLDG. 1B, STE.120, HOUSTON, TX 77081-5537
(713) 541-5372
(404) 494-7435
Mailing address
4600 GULF FWY, HOUSTON, TX 77023-3548

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
518359
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
AP101526
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2871550-02
TX
Enumeration date
11/14/2011
Last updated
09/13/2019
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