Provider Demographics
NPI:1730369307
Name:VU, JON T (DO)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:T
Last Name:VU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3200 LONG PRAIRIE RD
Mailing Address - Street 2:STE 100
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-2718
Mailing Address - Country:US
Mailing Address - Phone:972-350-0225
Mailing Address - Fax:
Practice Address - Street 1:3200 LONG PRAIRIE RD
Practice Address - Street 2:STE 100
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-2718
Practice Address - Country:US
Practice Address - Phone:972-350-0225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6941207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology