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Individual

DR. MICHELE DIEU THIET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8550 DATAPOINT DR STE 250, SAN ANTONIO, TX 78229-3436
(210) 616-0862
(210) 616-0595
Mailing address
8550 DATAPOINT DR, STE 250, SAN ANTONIO, TX 78229-3270
(210) 616-0862
(210) 616-0595

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G7896
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00DN97
BLUE CROSS
TX
Enumeration date
09/16/2006
Last updated
07/13/2011
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