Thien T Luu MD PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

84-70 Issued in NM

Legal business name

THIEN T LUU MD PA

Practice address

2000 W 21St
E-2
Clovis, NM 88101

Phone

(575) 762-3726

Fax

(575) 762-3727

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Dzung Luu

Title

Office Manager

Phone

(575) 762-3727

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Thien Tien Luu, M.D.

  • Pediatrics Physician
  • Clovis, NM
  • NPI 1720030745
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1760599153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W 21ST",
            "address_2": "E-2",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-762-3726",
            "fax_number": "575-762-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W 21ST",
            "address_2": "E-2",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-762-3726",
            "fax_number": "575-762-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIEN T LUU MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "DZUNG",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-762-3727"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "84-70",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33779",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Oasis Children's Advocate Center
• The Oasis-Childrens Advocate Center Inc.
• The Optical Center LLC
• The Woven Womb
• Donna M Thibodeau, MD
• Bonnie Marie Thomas, LMSW
• Brandi Thomas, MS
• Melodye Ralyn Thomas, OTR L
• Scarlett Amber-Lynn Thompson, LMHC
• Christine S Thron, OTR/L

• Pediatrics Physician in Clovis, NM
• Providers in Clovis, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.