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Contact Information

THIEN T LUU MD PA
2000 W 21ST
E-2
CLOVIS, NM88101
 Phone: 575-762-3726
 Fax: 575-762-3727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for THIEN T LUU MD PA

NPI # 1760599153
LBN Legal business name THIEN T LUU MD PA
Authorized official DZUNG LUU - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/23/2006
Last updated 10/11/2007 - About 19 years ago
Identifiers
NM License # 84-70
NM Medicaid 33779
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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