Organization Name: | ALINA QUY, LLC |
NPI Number: | 1063858785 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SOISANGVANE ALINA QUY (OWNER) |
Mailing Address: | 5500 Nw Expressway Suite A Warr Acres |
State: | OK US |
Postal Code: | 731325219 |
Phone Number: | 4052139853 |
Fax Number: | 4057592738 |
NPI Enumeration Date: | 05/21/2013 |
NPI Last Update Date: | 05/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 96349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |