Provider Demographics
NPI:1891806170
Name:VU, MYLINH THIEN (MD)
Entity Type:Individual
Prefix:MS
First Name:MYLINH
Middle Name:THIEN
Last Name:VU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:MYLINH
Other - Middle Name:THIEN
Other - Last Name:VU-TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6724 TRINITY LANDING DR N
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-3740
Mailing Address - Country:US
Mailing Address - Phone:817-346-6744
Mailing Address - Fax:
Practice Address - Street 1:7100 OAKMONT BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-3900
Practice Address - Country:US
Practice Address - Phone:817-370-2657
Practice Address - Fax:817-370-2186
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXHS5989207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX032049101Medicaid
TXE43924Medicare UPIN