Healthcare Provider Details

I. General information

NPI: 1043439375
Provider Name (Legal Business Name): VUONG D DAO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 11/01/2022
Certification Date: 11/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 W 15TH ST STE 350
PLANO TX
75093-5863
US

IV. Provider business mailing address

PO BOX 733784
DALLAS TX
75373-3784
US

V. Phone/Fax

Practice location:
  • Phone: 972-596-2131
  • Fax: 682-303-2031
Mailing address:
  • Phone: 682-885-6163
  • Fax: 682-885-6121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM9240
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: