Provider Demographics
NPI:1508591132
Name:DOQUANG, VINH (MSN, APRN, AG-CNS)
Entity Type:Individual
Prefix:
First Name:VINH
Middle Name:
Last Name:DOQUANG
Suffix:
Gender:M
Credentials:MSN, APRN, AG-CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 VENDEMMIA BND
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-1166
Mailing Address - Country:US
Mailing Address - Phone:512-893-5986
Mailing Address - Fax:512-777-5974
Practice Address - Street 1:575 VENDEMMIA BND
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-1166
Practice Address - Country:US
Practice Address - Phone:512-893-5986
Practice Address - Fax:512-777-5974
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1002145363LG0600X, 364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology