Organization
THIEN T LUU MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DZUNG LUU (OFFICE MANAGER)
(575) 762-3727
Entity
Organization
Contact information
Practice address
2000 W 21ST, E-2, CLOVIS, NM 88101
(575) 762-3726
(575) 762-3727
Mailing address
2000 W 21ST, E-2, CLOVIS, NM 88101
(575) 762-3726
(575) 762-3727
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
84-70
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33779
—
NM
Enumeration date
08/23/2006
Last updated
10/11/2007
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