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NPI Code Detail

MEDICARE: PETER VU

MEDICARE: PETER VU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist73502TX

General Provider Information

NPI Number : 1104696863
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER VU
Provider Business Mailing Address
First Line : 1604 TIMBERLAKE DR
Second Line : APT#2314
City : ARLINGTON
State : TX
Zip : 76010
Country : US
Telephone Number : 972-408-8717
Fax Number :
Provider Business Practice Location Address
First Line : 2323 W ILLINOIS AVE
Second Line :
City : DALLAS
State : TX
Zip : 75224-1637
Country : US
Telephone Number : 972-408-8717
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2024
Last Update Date : 01/04/2024

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Directions to “ PETER VU ” Practice Location

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