Provider Demographics
NPI:1194482059
Name:DANG, VY (PT, DPT)
Entity type:Individual
Prefix:
First Name:VY
Middle Name:
Last Name:DANG
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 DEL PRADO DR APT 105
Mailing Address - Street 2:
Mailing Address - City:EULESS
Mailing Address - State:TX
Mailing Address - Zip Code:76040-5705
Mailing Address - Country:US
Mailing Address - Phone:972-207-5009
Mailing Address - Fax:
Practice Address - Street 1:928 DEL PRADO DR APT 105
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-5705
Practice Address - Country:US
Practice Address - Phone:972-207-5009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-25
Last Update Date:2021-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1350412225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist