THERAS LLC NPI 1720817786

NPI Information

  • NPI: 1720817786
  • Provider Name: THERAS LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • :
  • CLIA Number: 37D2312898
  • Address: 3421 SW 104TH ST STE 5
    OKLAHOMA CITY, OK
    ZIP 73159
  • Phone: (405) 237-3383

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NPI Details

THERAS LLC is a primary care clinic center in Oklahoma City, OK. THERAS LLC NPI is 1720817786. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3421 SW 104TH ST STE 5
OKLAHOMA CITY, OK
ZIP 73159-065
Phone: (405) 237-3383

The provider's authorized official is Ryan H. Bui .
The authorized official title is Ceo and has the following contact phone number (405) 237-3383.

The CLIA number assigned to this NPI record is 37D2312898 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/29/2024 and was last updated on 2/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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