Healthcare Provider Details

I. General information

NPI: 1508506049
Provider Name (Legal Business Name): BICHNGA-DEANNA VUONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEANNA VUONG MD

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 GASTON AVE
DALLAS TX
75246-2088
US

IV. Provider business mailing address

821 ALLEN ST APT 842
DALLAS TX
75204-5896
US

V. Phone/Fax

Practice location:
  • Phone: 214-820-0111
  • Fax:
Mailing address:
  • Phone: 817-793-2731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: