Individual
MISS THANH-VAN THI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5701 N PORTLAND AVE STE 225, OKLAHOMA CITY, OK 73112-1678
(405) 600-1210
(405) 602-5756
Mailing address
14129 PADDLE WHEEL PL, OKLAHOMA CITY, OK 73170-1261
(405) 921-5948
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2243
OK
Other
Enumeration date
02/12/2013
Last updated
03/28/2016
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