Individual
TUONG HUU THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SYCAMORE ST APT 145, TERRE HAUTE, IN 47807-2628
(317) 640-9103
Mailing address
1 SYCAMORE ST APT 145, TERRE HAUTE, IN 47807-2628
(317) 640-9103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IN
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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