Provider Demographics
NPI:1881832517
Name:HUNG VU ,M.D.,P.A.
Entity Type:Organization
Organization Name:HUNG VU ,M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-588-8843
Mailing Address - Street 1:10412 VISTA DEL SOL DR
Mailing Address - Street 2:2A
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7946
Mailing Address - Country:US
Mailing Address - Phone:915-591-8618
Mailing Address - Fax:915-593-9310
Practice Address - Street 1:10412 VISTA DEL SOL DR
Practice Address - Street 2:2A
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7946
Practice Address - Country:US
Practice Address - Phone:915-591-8618
Practice Address - Fax:915-593-9310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-03
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6447207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty