Provider Demographics
NPI:1710369384
Name:VU, NGOC CHAU (DMD)
Entity Type:Individual
Prefix:
First Name:NGOC
Middle Name:CHAU
Last Name:VU
Suffix:
Gender:F
Credentials:DMD
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 1470
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78853-1470
Mailing Address - Country:US
Mailing Address - Phone:830-773-8917
Mailing Address - Fax:830-773-1892
Practice Address - Street 1:189 N PLANO RD STE 160
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-8002
Practice Address - Country:US
Practice Address - Phone:972-231-3434
Practice Address - Fax:972-231-3434
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-19
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX312741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3553547-01OtherMEDICAID EHR TYPR TPI #
UT194264305OtherDRIVERS LICENSE
TX0000000000OtherMEDICARE ORDER & REFER ONLY