Individual
KHOI THIEN LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
105 S BRYANT AVE STE 210, EDMOND, OK 73034-6331
(405) 359-5229
(405) 896-4309
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XXXXX
TEMPORARY P.A. LICENSE
TX
Enumeration date
02/20/2015
Last updated
10/30/2025
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