Thy Thanh Dang, D.C.
Individual provider Active NPI Chiropractor · Duncan, OK
NPI 1447513775 · NPPES record last updated Jun 21, 2012
Key facts
- NPI
- 1447513775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4067 (OK)
- Practice address
- 1501 Brookwood Ave RM a
Duncan, OK 73533-1358 - Phone
- (580) 252-1064
- NPI assigned
- Jun 21, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4067 | OK | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4067 | OK | Yes |
Addresses
Primary practice location
1501 Brookwood Ave RM a
Duncan, OK 73533-1358
Mailing address
1501 Brookwood Ave RM a
Duncan, OK 73533-1358
Phone (580) 252-1064
Other providers in Duncan, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.