Provider Demographics
NPI:1144574237
Name:JULIE VU MD PLLC
Entity Type:Organization
Organization Name:JULIE VU MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-613-5379
Mailing Address - Street 1:411 N WASHINGTON AVE
Mailing Address - Street 2:2700
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1713
Mailing Address - Country:US
Mailing Address - Phone:214-823-7900
Mailing Address - Fax:214-239-4260
Practice Address - Street 1:411 N WASHINGTON AVE
Practice Address - Street 2:2700
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1713
Practice Address - Country:US
Practice Address - Phone:214-823-7900
Practice Address - Fax:214-239-4260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-29
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3379207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX268163YNKGOtherMEDICARE PTAN GRP#
TX1871729871OtherIND NPI
TX1871729871OtherIND NPI