Provider Demographics
NPI:1154767630
Name:VU, TUAN CUONG (DPT)
Entity type:Individual
Prefix:DR
First Name:TUAN
Middle Name:CUONG
Last Name:VU
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7823 WYNDHAM HARBOR CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3076
Mailing Address - Country:US
Mailing Address - Phone:323-642-8884
Mailing Address - Fax:
Practice Address - Street 1:11200 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3227
Practice Address - Country:US
Practice Address - Phone:323-642-8884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-10
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39923225400000X
TX1353980225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner