Provider Demographics
NPI:1679913511
Name:VU, HA NGOC (OD)
Entity Type:Individual
Prefix:MS
First Name:HA
Middle Name:NGOC
Last Name:VU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2782
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77410-2782
Mailing Address - Country:US
Mailing Address - Phone:832-600-1319
Mailing Address - Fax:281-677-4242
Practice Address - Street 1:26824 FM 1093 RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1710
Practice Address - Country:US
Practice Address - Phone:832-600-1319
Practice Address - Fax:281-677-4242
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8243TG152W00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Yes152W00000XEye and Vision Services ProvidersOptometrist