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NPI Code Detail

MEDICARE: DR. MY LINH DAO VU MD

MEDICARE: DR. MY LINH DAO 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
1207R00000XInternal Medicine Physician0101276766VA

General Provider Information

NPI Number : 1639764095
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MY LINH DAO VU MD
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-4808
Fax Number : 210-539-2103
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-4808
Fax Number : 210-539-2103
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2021
Last Update Date : 12/10/2025

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