Individual
DR. ANNA HA-LINH PHUONG VU-WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4107 MEDICAL PKWY, #210, AUSTIN, TX 78756-3735
(512) 323-5362
(512) 335-7168
Mailing address
PO BOX 13442, AUSTIN, TX 78711-3442
(512) 323-5465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L3173
TX
208M00000X
Hospitalist Physician
Primary
L3173
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467649-01
—
TX
05
—
146764901
—
TX
Enumeration date
07/17/2006
Last updated
02/20/2020
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