Individual
DR. GIAC TIEN VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L4789
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150534901
—
TX
05
—
150534902
—
TX
05
—
150534903
—
TX
01
—
8F3575
BCBS
TX
Enumeration date
12/30/2005
Last updated
04/30/2019
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