Provider Demographics
NPI:1083677611
Name:VO, CONG T (MD)
Entity Type:Individual
Prefix:MR
First Name:CONG
Middle Name:T
Last Name:VO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:100 ASMA BOULEVARD
Mailing Address - Street 2:SUITE 385
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508
Mailing Address - Country:US
Mailing Address - Phone:337-981-9316
Mailing Address - Fax:337-981-8303
Practice Address - Street 1:107 MONTROSE AVENUE
Practice Address - Street 2:SUITE D
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503
Practice Address - Country:US
Practice Address - Phone:337-981-9316
Practice Address - Fax:337-981-8303
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2018-11-30
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Provider Licenses
StateLicense IDTaxonomies
LA159102080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1321915Medicaid