Luu, Thien Tien
Luu, Thien Tien is an sole proprietor health care provider with primary practice located at 2000 W 21St St #E-2, Clovis NM 88101-4087. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Luu, Thien Tien can be contacted via phone (575) 762-3726.Contact Information
Primary practice address
2000 W 21St St #E-2
Clovis NM 88101-4087
Phone: (575) 762-3726
Fax: (575) 762-3727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 84-70 | New Mexico |
Profile Details
| NPI number | 1720030745 |
|---|---|
| LBN Legal business name | Luu, Thien Tien |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Nov 30th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720030745 | NPPES |
| New Mexico | MEDICAID | 33779 |
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