Thuan Thai, Sa-C LLC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

THUAN THAI, SA-C LLC

Doing business as

Thuan Thai, SA-C

Practice address

7750 N Macarthur Blvd Ste 120
Irving, TX 75063-7501

Phone

(972) 408-6019

NPI assigned

Oct 3, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thuan Thai, CSFANPI 1093485609

Title

Owner/Operator

Phone

(972) 408-6019

Specialties & licenses 1

Addresses

Other names 1

• Thuan Thai, SA-C Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thuan Thai, CSFA

  • Surgical Physician Assistant
  • Irving, TX
  • NPI 1093485609
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1548984669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 N MACARTHUR BLVD STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637501",
            "telephone_number": "972-408-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 N MACARTHUR BLVD STE 120",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637501",
            "telephone_number": "972-408-6019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8830 Lakewood Dr",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750634813",
            "country_code": "US",
            "telephone_number": "972-408-6019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THUAN THAI, SA-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-08",
        "status": "A",
        "authorized_official_last_name": "THAI",
        "authorized_official_first_name": "THUAN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "972-408-6019",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thuan Thai, SA-C",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thuan Thai, SA-C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Keely Tillman, BCABA

• Surgical Physician Assistant in Irving, TX
• Providers in Irving, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.