Individual provider · Type 1 NPI
Chuong Nguyen Thai, MD
Student in an Organized Health Care Education/Training Program · Hurlburt Field, FL
Practice location
113 Lielmanis Ave
Hurlburt Field, FL 32544-5613
Mailing address
307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
| Family Medicine Physician | 207Q00000X | 23596 (NE) |
Student in an Organized Health Care Education/Training Program: 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.
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About NPI 1982956769
Chuong Nguyen Thai, MD's National Provider Identifier is 1982956769, issued on Oct 4, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hurlburt Field, FL. The record was last updated on Aug 2, 2021.