MEDICARE: AMANDA VU

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	225100000X	Physical Therapist	1380772	TX

General Provider Information

NPI Number	:	1194408013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA VU

Provider Business Mailing Address
First Line	:	4606 BARRETT CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-3907
Country	:	US
Telephone Number	:	281-904-8021
Fax Number	:

Provider Business Practice Location Address
First Line	:	4899 HIGHWAY 6
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-3987
Country	:	US
Telephone Number	:	346-371-2121
Fax Number	:

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

Provider Enumeration Date	:	08/08/2023
Last Update Date	:	08/08/2023

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Directions to “ AMANDA VU ” Practice Location

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