Individual provider · Type 1 NPI

Chuong Nguyen Thai, MD

Student in an Organized Health Care Education/Training Program · Hurlburt Field, FL

NPI number 1982956769 Active

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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Family Medicine Physician 207Q00000X23596 (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.

196 other providers at this address

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.