Healthcare Provider Details

I. General information

NPI: 1215466768
Provider Name (Legal Business Name): CHRIS HUNG VU DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2017
Last Update Date: 07/19/2025
Certification Date: 07/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3326 WATTERS RD BLDG C
PASADENA TX
77504-2023
US

IV. Provider business mailing address

PO BOX 16218
SUGAR LAND TX
77496-6218
US

V. Phone/Fax

Practice location:
  • Phone: 281-901-1133
  • Fax: 281-901-1601
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number3048
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: