Healthcare Provider Details

I. General information

NPI: 1396109609
Provider Name (Legal Business Name): DINH VUONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2016
Last Update Date: 04/30/2020
Certification Date: 04/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4401 GARTH RD
BAYTOWN TX
77521-2122
US

IV. Provider business mailing address

4401 GARTH RD
BAYTOWN TX
77521-2122
US

V. Phone/Fax

Practice location:
  • Phone: 832-556-6920
  • Fax:
Mailing address:
  • Phone: 832-556-6920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberR7623
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: