Provider Demographics
NPI:1194112664
Name:VO, THI (DO, MBA)
Entity type:Individual
Prefix:DR
First Name:THI
Middle Name:
Last Name:VO
Suffix:
Gender:F
Credentials:DO, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25144 GROGANS PARK DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2167
Mailing Address - Country:US
Mailing Address - Phone:281-549-8060
Mailing Address - Fax:361-881-1467
Practice Address - Street 1:25144 GROGANS PARK DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380
Practice Address - Country:US
Practice Address - Phone:281-549-8060
Practice Address - Fax:713-904-3071
Is Sole Proprietor?:No
Enumeration Date:2015-04-22
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR1147207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine