Individual
HIEP PHI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH.
Contact information
Practice address
7111 S LEWIS AVE, TULSA, OK 74136-5402
(918) 481-0666
Mailing address
7111 S LEWIS AVE, TULSA, OK 74136-5402
(918) 481-0666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12533
OK
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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