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NPI Code Detail

MEDICARE: HOAI NGUYEN PA-C

MEDICARE: HOAI NGUYEN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantOK

General Provider Information

NPI Number : 1033653019
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOAI NGUYEN PA-C
Provider Business Mailing Address
First Line : 4913 W RENO AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73127-6339
Country : US
Telephone Number : 405-948-4900
Fax Number : 405-948-4933
Provider Business Practice Location Address
First Line : 309 S ANN ARBOR AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73128-1112
Country : US
Telephone Number : 405-948-4900
Fax Number : 405-948-4933
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2016
Last Update Date : 04/26/2024

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Directions to “ HOAI NGUYEN PA-C” Practice Location

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