Provider Demographics
NPI:1891528709
Name:PIANG, THANG MUAN
Entity type:Individual
Prefix:
First Name:THANG
Middle Name:MUAN
Last Name:PIANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13575 S HARTFORD AVE
Mailing Address - Street 2:
Mailing Address - City:GLENPOOL
Mailing Address - State:OK
Mailing Address - Zip Code:74033-3317
Mailing Address - Country:US
Mailing Address - Phone:405-652-8613
Mailing Address - Fax:
Practice Address - Street 1:13575 S HARTFORD AVE
Practice Address - Street 2:
Practice Address - City:GLENPOOL
Practice Address - State:OK
Practice Address - Zip Code:74033-3317
Practice Address - Country:US
Practice Address - Phone:405-652-8613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator