| Nha T Lien Md Pc | |
|
14674 W Mountain View Blvd Ste 200 Surprise AZ 85374-2706 | |
| (909) 239-4700 | |
| Not Available |
| Full Name | Nha T Lien Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14674 W Mountain View Blvd, Surprise, Arizona |
| Authorized Official Name and Position | Nha Thanh Lien (DIRECTOR) |
| Authorized Official Contact | 9092394700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nha T Lien Md Pc Po Box 2568 Litchfield Park AZ 85340-2568 Ph: (909) 239-4700 | Nha T Lien Md Pc 14674 W Mountain View Blvd Ste 200 Surprise AZ 85374-2706 Ph: (909) 239-4700 |
| NPI Number | 1043569569 |
|---|---|
| Provider Enumeration Date | 08/30/2012 |
| Last Update Date | 08/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043569569 | NPI | - | NPPES |
| 1649217357 | Other | IND NPI | |
| 495123 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 42619 (Arizona) | Primary |
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