Provider Demographics
NPI:1003829334
Name:VU, THEM LE (MD)
Entity Type:Individual
Prefix:MRS
First Name:THEM
Middle Name:LE
Last Name:VU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:TAMMY
Other - Middle Name:LE
Other - Last Name:VU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6300 STONEWOOD DR STE 304
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5312
Mailing Address - Country:US
Mailing Address - Phone:469-467-8100
Mailing Address - Fax:469-467-4556
Practice Address - Street 1:6300 STONEWOOD DR STE 304
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5312
Practice Address - Country:US
Practice Address - Phone:469-467-8100
Practice Address - Fax:469-467-4556
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7916174400000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8R1300OtherBCBS PROVIDER #
TX169375601Medicaid
TX8R1300OtherBCBS PROVIDER #
1609072628Medicare NSC
TX169375601Medicaid