Provider Demographics
NPI:1508477324
Name:HUA, VICKY V (DDS)
Entity Type:Individual
Prefix:DR
First Name:VICKY
Middle Name:V
Last Name:HUA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:VICKY
Other - Middle Name:V
Other - Last Name:MATAYOSHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:7071 LAWNDALE ST STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-4244
Mailing Address - Country:US
Mailing Address - Phone:713-351-9437
Mailing Address - Fax:
Practice Address - Street 1:7071 LAWNDALE ST STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-4244
Practice Address - Country:US
Practice Address - Phone:713-351-9437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-14
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX365281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice