Individual
PHAT TIEN VU
Active
Individual
PHAT TIEN VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J2402
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132199411
—
TX
01
—
8EH604
BCBS
TX
01
—
P01446866
RR
TX
Enumeration date
12/28/2005
Last updated
07/01/2020
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