Ly Thao Nguyen Chu, PA-C

NPI #1063063238 in Irving, Texas

Provider Information

NPI Number: 1063063238
Entity Type: Individual
Name: Ly Thao Nguyen Chu, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 27, 2019
Last Updated: Feb 15, 2023

Practice Location

Address: 2021 N MACARTHUR BLVD STE 450
City: Irving
State: Texas
ZIP Code: 75061-2219
Phone: (866) 367-8768

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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