Individual
THUC-VI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5808 W TWIN OAKS ST, BROKEN ARROW, OK 74011-1573
(918) 408-6152
Mailing address
5808 W TWIN OAKS ST, BROKEN ARROW, OK 74011-1573
(918) 408-6152
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2856
OK
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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