MEDICARE: NATALIE 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	152W00000X	Optometrist	9485	TX

General Provider Information

NPI Number	:	1780178533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE VU

Provider Business Mailing Address
First Line	:	1717 W 34TH ST STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-6256
Country	:	US
Telephone Number	:	281-616-5959
Fax Number	:

Provider Business Practice Location Address
First Line	:	1717 W 34TH ST STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-6256
Country	:	US
Telephone Number	:	281-616-5959
Fax Number	:	281-238-5089

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

Provider Enumeration Date	:	06/15/2018
Last Update Date	:	08/13/2020

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Directions to “ NATALIE VU ” Practice Location

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