Provider Demographics
NPI:1558818948
Name:VUU, NHU-MAI
Entity Type:Individual
Prefix:
First Name:NHU-MAI
Middle Name:
Last Name:VUU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2078
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-6156
Mailing Address - Country:US
Mailing Address - Phone:817-500-9636
Mailing Address - Fax:817-439-8107
Practice Address - Street 1:2432 AVONDALE HASLET RD STE 100
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-3446
Practice Address - Country:US
Practice Address - Phone:817-500-9636
Practice Address - Fax:817-439-8107
Is Sole Proprietor?:No
Enumeration Date:2016-09-02
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA10977363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX392405201Medicaid
TX8KB020OtherBCBSTX