Provider Demographics
NPI:1689671497
Name:VU, CHAU MINH (MD)
Entity Type:Individual
Prefix:
First Name:CHAU
Middle Name:MINH
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 57637
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7637
Mailing Address - Country:US
Mailing Address - Phone:281-332-2400
Mailing Address - Fax:281-332-2442
Practice Address - Street 1:1567 LIVE OAK ST
Practice Address - Street 2:SUITE A
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4154
Practice Address - Country:US
Practice Address - Phone:281-332-2400
Practice Address - Fax:281-332-2442
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5423174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH37029Medicare UPIN