Organization
VAN LANG IPA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAC TIEN VU M.D. (PRESIDENT)
(713) 272-8858
Entity
Organization
Contact information
Practice address
8278 BELLAIRE BLVD., STE. A, HOUSTON, TX 77036
(713) 272-8858
(713) 321-2739
Mailing address
8278 BELLAIRE BLVD., STE. A, HOUSTON, TX 77036
(713) 272-8858
(713) 321-2739
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
J6791
TX
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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