Provider Demographics
NPI:1760463293
Name:VU, TOAN QUOC (MD)
Entity Type:Individual
Prefix:
First Name:TOAN
Middle Name:QUOC
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:255 E SONTERRA BLVD
Mailing Address - Street 2:STE 211
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4076
Mailing Address - Country:US
Mailing Address - Phone:512-558-7770
Mailing Address - Fax:512-558-7773
Practice Address - Street 1:1341 THORPE LN
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-7113
Practice Address - Country:US
Practice Address - Phone:512-558-7770
Practice Address - Fax:512-558-7773
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM13962084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8D8633Medicare ID - Type UnspecifiedMEDICARE-TRAVIS COUNTY
TXI38919Medicare UPIN
TX8D8634Medicare ID - Type UnspecifiedMEDICARE-HAYS COUNTY