Basic Information
| Provider Information | |||||||||
| NPI: | 1770710006 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | DANG | ||||||||
| FirstName: | VU | ||||||||
| MiddleName: | H. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5445 LA BRANCH STREET | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7139737246 | ||||||||
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| Practice Location | |||||||||
| Address1: | 13636 BRETON RIDGE ST | ||||||||
| Address2: | SUITE B | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770706077 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7139737246 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2009 | ||||||||
| LastUpdateDate: | 07/13/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 243517 | MA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 208VP0000X | Q0426 | TX | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8ET369 | 01 | TX | BLUE CROSS BLUE SHIELD | OTHER |