Provider Demographics
NPI:1649245663
Name:VU, DAC T (MD)
Entity Type:Individual
Prefix:DR
First Name:DAC
Middle Name:T
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DAC
Other - Middle Name:T
Other - Last Name:VU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8278 BELLAIRE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4053
Mailing Address - Country:US
Mailing Address - Phone:713-272-8858
Mailing Address - Fax:713-995-6142
Practice Address - Street 1:8278 BELLAIRE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4053
Practice Address - Country:US
Practice Address - Phone:713-272-8858
Practice Address - Fax:713-995-6142
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6791207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G00259Medicare UPIN