Individual
NAYEON KIM THIESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 4TH ST STOP 4TH, LUBBOCK, TX 79430-0002
(713) 294-8635
Mailing address
3601 4TH ST - STOP 4TH FLOOR, LUBBOCK, TX 79430
(713) 294-8635
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
BP10083595
TX
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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