Provider Demographics
NPI:1518399344
Name:VANG, NA LY (DO)
Entity Type:Individual
Prefix:DR
First Name:NA
Middle Name:LY
Last Name:VANG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2619 SUNDAY HOUSE DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-2875
Mailing Address - Country:US
Mailing Address - Phone:832-455-1646
Mailing Address - Fax:
Practice Address - Street 1:2619 SUNDAY HOUSE DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-2875
Practice Address - Country:US
Practice Address - Phone:832-455-1646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-02
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP7223207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine