Provider Demographics
NPI:1043500598
Name:VU, KHIEM QUYNH (DO)
Entity Type:Individual
Prefix:
First Name:KHIEM
Middle Name:QUYNH
Last Name:VU
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:2700 CITIZENS PLZ
Mailing Address - Street 2:SUITE 400
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-5754
Mailing Address - Country:US
Mailing Address - Phone:361-237-3945
Mailing Address - Fax:361-582-5778
Practice Address - Street 1:2700 CITIZENS PLZ
Practice Address - Street 2:SUITE 400
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-5754
Practice Address - Country:US
Practice Address - Phone:361-237-3945
Practice Address - Fax:361-582-5778
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-18
Last Update Date:2020-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN9325207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine