=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417210709
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VU CHIROPRACTIC LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/21/2012
-----------------------------------------------------
Last Update Date | 09/25/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10613 BELLAIRE BLVD SUITE A-120
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77072-5221
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-577-3022
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16539 SMOOTH PINE LN
-----------------------------------------------------
City | SUGAR LAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77498-7212
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-577-3022
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIROPRACTOR
-----------------------------------------------------
Name | GIANG VU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 832-577-3022
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------