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NPI Code Detail

MEDICARE: ANH TUYET VU DO

MEDICARE: ANH TUYET VU DO
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
1207R00000XInternal Medicine PhysicianT0146TX
2390200000XStudent in an Organized Health Care Education/Training ProgramBP10063809TX
3207RE0101XEndocrinology, Diabetes & Metabolism PhysicianT0146TX

General Provider Information

NPI Number : 1245737493
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANH TUYET VU DO
Provider Business Mailing Address
First Line : PO BOX 746079
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6079
Country : US
Telephone Number :
Fax Number : 312-929-0373
Provider Business Practice Location Address
First Line : 4115 E LANCASTER AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76103-3614
Country : US
Telephone Number : 817-796-7370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2018
Last Update Date : 08/06/2025

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Directions to “ ANH TUYET VU DO” Practice Location

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