Individual
THU LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-4700
Mailing address
8500 N OKLAHOMA AVE APT 191, OKLAHOMA CITY, OK 73114-7565
(954) 993-2400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5672
OK
Other
Enumeration date
07/14/2025
Last updated
12/16/2025
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