Provider Demographics
NPI:1215103130
Name:VU, DAVID HUNG (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HUNG
Last Name:VU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12790 VETERANS MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-2048
Mailing Address - Country:US
Mailing Address - Phone:281-580-7620
Mailing Address - Fax:281-580-0466
Practice Address - Street 1:122 E SOUTHMORE AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-1018
Practice Address - Country:US
Practice Address - Phone:713-472-4540
Practice Address - Fax:713-472-1087
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19533122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1383072OtherTEXAS CHIP
TX1382959OtherTEXAS CHIP
TX1382977OtherTEXAS CHIP
TX0078024-03Medicaid
TX0078024-04Medicaid
TX0078024-02Medicaid
TX0078024-01Medicaid
TX1382939OtherTEXAS CHIP
TX1395065OtherTEXAS CHIP
TX050383OtherTEXAS CHIP
TX1382928OtherTEXAS CHIP