Provider Demographics
NPI:1164772570
Name:VO, VINH (NP)
Entity Type:Individual
Prefix:
First Name:VINH
Middle Name:
Last Name:VO
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11399 VETERANS MEMORIAL DR STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-3800
Mailing Address - Country:US
Mailing Address - Phone:832-953-3232
Mailing Address - Fax:832-717-2388
Practice Address - Street 1:11399 VETERANS MEMORIAL DR STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77067-3800
Practice Address - Country:US
Practice Address - Phone:832-953-3232
Practice Address - Fax:832-717-2388
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP122232363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX341743804Medicaid