Provider Demographics
NPI:1205067394
Name:VO, PHU N (DPM)
Entity type:Individual
Prefix:
First Name:PHU
Middle Name:N
Last Name:VO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4423 GRIGGS RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-2815
Mailing Address - Country:US
Mailing Address - Phone:713-429-0655
Mailing Address - Fax:713-429-0670
Practice Address - Street 1:4423 GRIGGS RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-2815
Practice Address - Country:US
Practice Address - Phone:713-429-0655
Practice Address - Fax:713-429-0670
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LADPM.200033213E00000X
TX3126213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2317229Medicaid
LA2317229Medicaid