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Individual
DR. THONG TIEN VU
Active
Individual
DR. THONG TIEN VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F3654
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130940303
—
TX
05
—
130940306
—
TX
01
—
751700137
FEDERAL TAX ID
TX
Enumeration date
08/16/2006
Last updated
01/23/2014
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