Provider Demographics
NPI:1851037402
Name:UY, VANCE MIKHAIL TAN (MD)
Entity Type:Individual
Prefix:MR
First Name:VANCE MIKHAIL
Middle Name:TAN
Last Name:UY
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 1:2000B TRANSMOUNTAIN ROAD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79911
Mailing Address - Country:US
Mailing Address - Phone:915-215-8400
Mailing Address - Fax:
Practice Address - Street 1:2000B TRANSMOUNTAIN ROAD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79911
Practice Address - Country:US
Practice Address - Phone:915-215-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2022-12-20
Deactivation Date:2022-12-13
Deactivation Code:
Reactivation Date:2022-12-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program