Provider Demographics
NPI:1912327453
Name:CHAU M VU M D P A
Entity Type:Organization
Organization Name:CHAU M VU M D P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAU
Authorized Official - Middle Name:M
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-332-2400
Mailing Address - Street 1:1567 LIVE OAK ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4154
Mailing Address - Country:US
Mailing Address - Phone:281-332-2400
Mailing Address - Fax:281-332-2442
Practice Address - Street 1:1567 LIVE OAK ST
Practice Address - Street 2:SUITE A
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4154
Practice Address - Country:US
Practice Address - Phone:281-332-2400
Practice Address - Fax:281-332-2442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5423207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH37029Medicare UPIN