Provider Demographics
NPI:1558481887
Name:VU, THOMAS MINH (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MINH
Last Name:VU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 HIGHWAY 6
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5141
Mailing Address - Country:US
Mailing Address - Phone:281-240-3210
Mailing Address - Fax:281-240-3218
Practice Address - Street 1:636 HIGHWAY 6
Practice Address - Street 2:SUITE 700
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5141
Practice Address - Country:US
Practice Address - Phone:281-240-3210
Practice Address - Fax:281-240-3218
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX206371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX152819201Medicaid