Provider Demographics
NPI:1639295017
Name:VO, THIENTUAN DUONG (DC)
Entity Type:Individual
Prefix:DR
First Name:THIENTUAN
Middle Name:DUONG
Last Name:VO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:TIM
Other - Middle Name:
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:1007 W MITCHELL ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-2508
Mailing Address - Country:US
Mailing Address - Phone:817-460-9100
Mailing Address - Fax:817-460-9200
Practice Address - Street 1:1007 W MITCHELL ST
Practice Address - Street 2:SUITE 102
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-2508
Practice Address - Country:US
Practice Address - Phone:817-460-9100
Practice Address - Fax:817-460-9200
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2017-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor