Individual
DR. DONNA VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 DOCTOR CIR, LONGVIEW, TX 75605-5050
(903) 757-3881
(903) 757-5948
Mailing address
6 DOCTOR CIR, LONGVIEW, TX 75605-5050
(903) 757-3881
(903) 757-5948
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
P6544
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10197662
DPS LICENSE
TX
01
—
293216YSYB
MEDICARE INDIVIDUAL PTAN
TX
01
—
TXB145668
MEDICARE GROUP PTAN
TX
Enumeration date
03/23/2010
Last updated
03/07/2023
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