Provider Demographics
NPI:1184828774
Name:TRAN, VU PHI (MD)
Entity Type:Individual
Prefix:DR
First Name:VU
Middle Name:PHI
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1398 ELDRIDGE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2547
Mailing Address - Country:US
Mailing Address - Phone:281-606-3223
Mailing Address - Fax:281-606-3222
Practice Address - Street 1:1398 ELDRIDGE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2547
Practice Address - Country:US
Practice Address - Phone:409-939-9940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2019-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP1-0022241207L00000X
TXN5439208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2790068215OtherMYUTMB 2790068215-COMMERCIAL NUMBER