Provider Demographics
NPI:1659960771
Name:TON-THAT, TUONG CAT (RPH)
Entity Type:Individual
Prefix:
First Name:TUONG
Middle Name:CAT
Last Name:TON-THAT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10501 ARVILLA AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-5003
Mailing Address - Country:US
Mailing Address - Phone:505-227-3440
Mailing Address - Fax:
Practice Address - Street 1:3800 N LOVINGTON HWY
Practice Address - Street 2:
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240-1033
Practice Address - Country:US
Practice Address - Phone:575-492-0120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program