Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | K4825 | TX |
Y | 207XS0106X | Orthopaedic Hand Surgeon | K4825 | TX |
NPI | 1063462547 |
---|---|
Provider Name | Duc P Vo |
First Address | Garland, TX 75042-5732 |
Second Address | Richardson, TX 75082-4277 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 08/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
84594Y | BCBS (01) | TX |
G69582 | (02) | TX |