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NPI Code Detail

MEDICARE: THU LE

MEDICARE: THU LE
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 Assistant5672OK

General Provider Information

NPI Number : 1558252734
Entity Type Code : Individual
Provider Name (Legal Business Name) : THU LE
Provider Business Mailing Address
First Line : 8500 N OKLAHOMA AVE APT 191
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-7565
Country : US
Telephone Number : 954-993-2400
Fax Number :
Provider Business Practice Location Address
First Line : 700 NE 13TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5004
Country : US
Telephone Number : 405-271-4700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2025
Last Update Date : 12/16/2025

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Directions to “ THU LE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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