Phu Thai Dang is a student in an organized health care education training program in Warr Acres, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Phu Thai Dang NPI is 1144947490. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
5520 HIDDEN TRAIL LN
WARR ACRES, OK
ZIP 73132-825
Phone: (405) 626-3340
The enumeration date for this NPI number is 10/26/2022 and was last updated on 10/26/2022.