MEDICARE: PAUL T VU D.C.

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	111N00000X	Chiropractor	7353	TX

General Provider Information

NPI Number	:	1972527240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL T VU D.C.

Provider Business Mailing Address
First Line	:	1321 E PIONEER PKWY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5868
Country	:	US
Telephone Number	:	817-265-8777
Fax Number	:	817-265-0802

Provider Business Practice Location Address
First Line	:	1321 E PIONEER PKWY
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76010-5868
Country	:	US
Telephone Number	:	817-265-8777
Fax Number	:	817-265-0802

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	08/13/2009

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