Provider Demographics
NPI:1295350254
Name:VU, MATTHEW THANH (DPM)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:THANH
Last Name:VU
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 1:7710 MOONMIST DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-4126
Mailing Address - Country:US
Mailing Address - Phone:713-894-4507
Mailing Address - Fax:
Practice Address - Street 1:7710 MOONMIST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-4126
Practice Address - Country:US
Practice Address - Phone:713-894-4507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-15
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX692098213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist