Provider Demographics
| NPI: | 1063462547 |
|---|---|
| Name: | VO, DUC P (MD) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | DUC |
| Middle Name: | P |
| Last Name: | VO |
| Suffix: | |
| Gender: | M |
| Credentials: | MD |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 2241 PEGGY LN |
| Mailing Address - Street 2: | SUITE A |
| Mailing Address - City: | GARLAND |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 75042-5732 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 972-276-0536 |
| Mailing Address - Fax: | 972-276-6037 |
| Practice Address - Street 1: | 2821 E PRESIDENT GEORGE BUSH HWY STE 306 |
| Practice Address - Street 2: | |
| Practice Address - City: | RICHARDSON |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 75082-4277 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 197-267-5950 |
| Practice Address - Fax: | 972-675-9400 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2006-05-12 |
| Last Update Date: | 2021-09-08 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| TX | K4825 | 207X00000X, 207XS0106X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery |
| No | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| TX | 84594Y | Other | BCBS |
| TX | G69582 | Medicare UPIN | |
| TX | 8D6940 | Medicare ID - Type Unspecified |