MEDICARE: MRS. ALICE LE HUU MD

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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	42738	OK

General Provider Information

NPI Number	:	1790274272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALICE LE HUU MD

Provider Business Mailing Address
First Line	:	7800 NW 85TH TER
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-3385
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8100 S WALKER AVE STE 250
Second Line	:	BLDG A
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-9407
Country	:	US
Telephone Number	:	405-608-3800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2018
Last Update Date	:	01/06/2026

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