Doctor Name: | DR. BEN GIA NGUYEN |
NPI Number: | 1093007023 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 5256 |
Business Practice Address: | 7300 S Western Ave Suite 2 Oklahoma City, OK - 731392002 |
Business Phone Number: | 4056224214 |
Business Fax Number: | 4056224191 |
Mailing Address: | 7300 S Western Ave, Suite 2 OKLAHOMA CITY |
State: | OK |
Postal Code: | 731392002 |
Phone Number: | 4056224214 |
Fax Number: | 4056224191 |
NPI Enumeration Date: | 05/10/2011 |
NPI Last Update Date: | 05/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 5256 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OK |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |