Healthcare Provider Details

I. General information

NPI: 1871843276
Provider Name (Legal Business Name): VOHEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2012
Last Update Date: 09/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

848 W MITCHELL ST
ARLINGTON TX
76013-2594
US

IV. Provider business mailing address

848 W MITCHELL ST
ARLINGTON TX
76013-2594
US

V. Phone/Fax

Practice location:
  • Phone: 817-460-9100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberF008132
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberF008132
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberF008132
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberF008132
License Number StateTX

VIII. Authorized Official

Name: KIEUGIANG HUYNH
Title or Position: MANAGER
Credential:
Phone: 817-460-9100