Provider Demographics
NPI:1043439375
Name:DAO, VUONG D (DO)
Entity Type:Individual
Prefix:
First Name:VUONG
Middle Name:D
Last Name:DAO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-6163
Mailing Address - Fax:682-885-6121
Practice Address - Street 1:4001 W 15TH ST STE 350
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5863
Practice Address - Country:US
Practice Address - Phone:972-596-2131
Practice Address - Fax:682-303-2031
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM9240208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX195669003Medicaid
TX195669003Medicaid