Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phung Kim Nguyen, PA-C

Individual provider Physician Assistant · NPI 1033988522

Phung Kim Nguyen, PA-C is a Physician Assistant in Glenpool, Oklahoma. Qualified in 2023, 3 years ago. Practices with Warren Clinic Inc, a 772-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma.

Years since qualifying
3
Licensed in
OK
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

12190 S Waco Ave Ste C
Glenpool, OK 74033-5661
Phone: (918) 936-2882
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6465 S Yale Ave Ste 704, Tulsa, OK 74136-7822 — (918) 502-4250

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5127 (OK)

Record details

NPI number1033988522
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 26, 2023
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Warren Clinic Inc — 772 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Glenpool