Provider Demographics
NPI:1093151292
Name:AHN, VIVIAN BELLA (MD)
Entity Type:Individual
Prefix:DR
First Name:VIVIAN
Middle Name:BELLA
Last Name:AHN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11212 STATE HWY 151 SUITE 350
Mailing Address - Street 2:PLAZA 2
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251
Mailing Address - Country:US
Mailing Address - Phone:210-281-5066
Mailing Address - Fax:210-281-4459
Practice Address - Street 1:11212 STATE HWY 151 SUITE 350
Practice Address - Street 2:PLAZA 2
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251
Practice Address - Country:US
Practice Address - Phone:210-281-5066
Practice Address - Fax:210-281-4459
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2018-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR3987207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology