Provider Demographics
NPI:1992217467
Name:TRAN, VU DUY
Entity Type:Individual
Prefix:
First Name:VU
Middle Name:DUY
Last Name:TRAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11360 BELLAIRE BLVD STE 820
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-2533
Mailing Address - Country:US
Mailing Address - Phone:281-530-4000
Mailing Address - Fax:
Practice Address - Street 1:11360 BELLAIRE BLVD STE 820
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2533
Practice Address - Country:US
Practice Address - Phone:337-288-9998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-24
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX322604658390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty