Provider Demographics
NPI:1568567295
Name:VU, DUKE P (MD)
Entity Type:Individual
Prefix:DR
First Name:DUKE
Middle Name:P
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DUKE
Other - Middle Name:P
Other - Last Name:VU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:13420 STATE HIGHWAY 249 STE I
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77086-3167
Mailing Address - Country:US
Mailing Address - Phone:281-999-7601
Mailing Address - Fax:281-999-7881
Practice Address - Street 1:13420 TOMBALL PKWY
Practice Address - Street 2:SUITE I
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086-3167
Practice Address - Country:US
Practice Address - Phone:281-999-7601
Practice Address - Fax:281-999-7881
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3419207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F4639Medicare PIN
TXI71686Medicare UPIN