Individual
DR. DA-THUY T VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
L2723
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147156702
—
TX
01
—
7586253
AETNA PROVIDER NUMBER
TX
01
—
8V5050
BLUE CROSS BLUE SHIELD
TX
01
—
P00308354
RR MEDICARE
TX
Enumeration date
09/08/2005
Last updated
12/07/2022
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