Provider Demographics
NPI:1952085797
Name:VUONG LLC
Entity Type:Organization
Organization Name:VUONG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHU
Authorized Official - Middle Name:
Authorized Official - Last Name:VUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:972-809-8850
Mailing Address - Street 1:622 LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-1816
Mailing Address - Country:US
Mailing Address - Phone:972-809-8850
Mailing Address - Fax:
Practice Address - Street 1:905 STATE HIGHWAY 78 STE B
Practice Address - Street 2:
Practice Address - City:LAVON
Practice Address - State:TX
Practice Address - Zip Code:75166-1288
Practice Address - Country:US
Practice Address - Phone:972-809-8850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental