MEDICARE: DR. CHRISTINA HAI VU D.D.S.

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	122300000X	Dentist	19643	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	050380	OTHER	TX	TEXAS CHIP
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	050379	OTHER	TX	TEXAS CHIP
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437325354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA HAI VU D.D.S.

Provider Business Mailing Address
First Line	:	12790 VETERANS MEMORIAL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-2048
Country	:	US
Telephone Number	:	281-580-7620
Fax Number	:	281-580-0466

Provider Business Practice Location Address
First Line	:	12790 VETERANS MEMORIAL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-2048
Country	:	US
Telephone Number	:	281-580-7620
Fax Number	:	281-580-0466

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

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	04/30/2008

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