Provider Demographics
NPI:1992967483
Name:LUU, VU (C-STFA)
Entity type:Individual
Prefix:MR
First Name:VU
Middle Name:
Last Name:LUU
Suffix:
Gender:M
Credentials:C-STFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 CASTLE BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-8787
Mailing Address - Country:US
Mailing Address - Phone:830-386-0038
Mailing Address - Fax:
Practice Address - Street 1:134 CASTLE BREEZE DR
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-8787
Practice Address - Country:US
Practice Address - Phone:830-822-8319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-26
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant