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NPI Code Detail

MEDICARE: MRS. QUYNH N. VU PA-C

MEDICARE:  MRS. QUYNH N. VU  PA-C
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
1363A00000XPhysician AssistantPA00070TX

Other Identifiers

General Provider Information

NPI Number : 1982604971
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. QUYNH N. VU PA-C
Provider Business Mailing Address
First Line : 2705 GLEN HEATHER DR
Second Line :
City : RICHARDSON
State : TX
Zip : 75082-3829
Country : US
Telephone Number : 214-477-5358
Fax Number :
Provider Business Practice Location Address
First Line : 750 W FM 544
Second Line :
City : WYLIE
State : TX
Zip : 75098-3913
Country : US
Telephone Number : 866-389-2727
Fax Number : 401-216-3854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2005
Last Update Date : 01/22/2019

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