Organization
THUAN THAI, SA-C LLC
Active
Other names
Thuan Thai, SA-C
Organization subpart
No
Provider details
NPI number
Authorized official
THUAN THAI CSFA (OWNER/OPERATOR)
(972) 408-6019
Entity
Organization
Contact information
Practice address
7750 N MACARTHUR BLVD STE 120, IRVING, TX 75063-7501
(972) 408-6019
Mailing address
7750 N MACARTHUR BLVD STE 120, IRVING, TX 75063-7501
(972) 408-6019
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/11/2022
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