Provider Demographics
NPI:1831973114
Name:V HOME FAMILY PRACTICE
Entity type:Organization
Organization Name:V HOME FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:DUY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:682-553-8888
Mailing Address - Street 1:6906 RAVEN MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-3450
Mailing Address - Country:US
Mailing Address - Phone:682-553-8888
Mailing Address - Fax:
Practice Address - Street 1:2420 E ARKANSAS LN STE 246
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76014-1753
Practice Address - Country:US
Practice Address - Phone:682-553-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service