Provider Demographics
NPI:1578558599
Name:VU, QUAN ANH (MD)
Entity Type:Individual
Prefix:DR
First Name:QUAN
Middle Name:ANH
Last Name:VU
Suffix:
Gender:M
Credentials:MD
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 840853
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0865
Mailing Address - Country:US
Mailing Address - Phone:972-715-5000
Mailing Address - Fax:972-233-3666
Practice Address - Street 1:1500 CITYWEST BLVD
Practice Address - Street 2:STE. 300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2300
Practice Address - Country:US
Practice Address - Phone:713-620-4000
Practice Address - Fax:713-458-4229
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-15
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6792207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX137779802Medicaid
TX050065422OtherMCR RAILROAD
TX137779813Medicaid
TX89688KOtherBLUE CROSS BLUE SHIELD
TX137779811Medicaid
TX137779814Medicaid
TX137779812Medicaid
TX8GK806OtherBCBS
LA1736473Medicaid
TX70089916OtherDPS
TX8W4791OtherBLUE CROSS BLUE SHIELD
TX8W4791OtherBLUE CROSS BLUE SHIELD
TXTXB102622Medicare PIN
TX70089916OtherDPS
TX8GK806OtherBCBS
TX89688KOtherBLUE CROSS BLUE SHIELD
TX137779813Medicaid
LA1736473Medicaid
F87412Medicare UPIN