Provider Demographics
NPI:1588850713
Name:HAU, VIVIENNE SINH (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:VIVIENNE
Middle Name:SINH
Last Name:HAU
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:VINCENT
Other - Middle Name:SINH
Other - Last Name:HAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 650037
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75265-0037
Mailing Address - Country:US
Mailing Address - Phone:214-696-2008
Mailing Address - Fax:
Practice Address - Street 1:10800 MAGNOLIA AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-3043
Practice Address - Country:US
Practice Address - Phone:951-323-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3077207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX202923301Medicaid
TX202923305Medicaid
TX202923303Medicaid
TX202923306Medicaid
TX202923302Medicaid
TX202923304Medicaid
TX8L13706Medicare PIN
TX8L13704Medicare PIN
TX8L13707Medicare PIN
TX202923304Medicaid
TX202923301Medicaid
TX202923302Medicaid