MEDICARE: DR. BAN VU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	F7982	TX

General Provider Information

NPI Number	:	1194167924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BAN VU MD

Provider Business Mailing Address
First Line	:	9798 BELLAIRE BLVD STE E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3428
Country	:	US
Telephone Number	:	713-874-7278
Fax Number	:	713-995-6472

Provider Business Practice Location Address
First Line	:	9798 BELLAIRE BLVD STE E
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3428
Country	:	US
Telephone Number	:	713-874-7278
Fax Number	:	713-995-6472

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2013
Last Update Date	:	07/22/2013

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Directions to “ DR. BAN VU MD” Practice Location

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