Provider Demographics
NPI:1487279592
Name:VU, HENRY THANH (DOCTOR OF ACUPUNCTUR)
Entity type:Individual
Prefix:DR
First Name:HENRY
Middle Name:THANH
Last Name:VU
Suffix:
Gender:M
Credentials:DOCTOR OF ACUPUNCTUR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 MANHATTAN BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3402
Mailing Address - Country:US
Mailing Address - Phone:504-912-3456
Mailing Address - Fax:
Practice Address - Street 1:1308 MANHATTAN BLVD STE B
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-3402
Practice Address - Country:US
Practice Address - Phone:504-304-4234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-15
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA305086171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty