=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588586671
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LINDA DIEM VU
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2026
-----------------------------------------------------
Last Update Date | 07/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9250 PINECROFT DR
-----------------------------------------------------
City | SHENANDOAH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77380-3218
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-897-2350
-----------------------------------------------------
Fax | 713-897-2524
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 200 SILVERWOOD RANCH DR
-----------------------------------------------------
City | CONROE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77384-4582
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-897-2350
-----------------------------------------------------
Fax | 713-897-2425
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 38010
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------