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Individual

CHRISTINE VU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08922
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
336665001
TX
01
8442NK
BCBS
TX
Enumeration date
04/10/2014
Last updated
10/20/2014
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