NPI 1043686702

Van Lang Ipa, LLC

Organisation Exclusive Provider Organization Houston, TX

Practice location

Address: 8278 Bellaire Blvd. STE. a, Houston, TX 77036
Phone: (713) 272-8858
Fax: (713) 321-2739

Authorised official

Name: Dac Tien Vu
Title: President
Phone: (713) 272-8858

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence J6791 (TX)

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Registry record

NPI: 1043686702
Entity type: Organization
NPI issued: 18 Aug 2015
Record last updated: 18 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.