Individual
DR. ANDREW BERNARD THYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 STANTON L YOUNG BLVD STE 1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
(405) 271-8695
Mailing address
PO BOX 26901, OKLAHOMA CITY, OK 73126-0901
(405) 271-4351
(405) 271-8695
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23873
OK
207L00000X
Anesthesiology Physician
K7920
TX
207Q00000X
Family Medicine Physician
23873
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133663816
—
TX
05
—
200030130B
—
OK
01
—
8FQ963
BCBS
TX
01
—
P01624128
RR MEDICARE
TX
Enumeration date
08/19/2005
Last updated
08/01/2022
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