Provider Demographics
NPI:1043246291
Name:BUIE, JOSEPH
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:BUIE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:HAI LINH
Other - Middle Name:GIA
Other - Last Name:BUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8831 LONG POINT RD STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-3023
Mailing Address - Country:US
Mailing Address - Phone:713-722-0333
Mailing Address - Fax:713-722-9889
Practice Address - Street 1:8831 LONG POINT RD STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-3023
Practice Address - Country:US
Practice Address - Phone:713-722-0333
Practice Address - Fax:713-722-9889
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-22
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5469207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092384901Medicaid
TX8A3680OtherBC/BS
TXG82497Medicare UPIN
TX00586EMedicare PIN