Provider Demographics
NPI:1346462652
Name:BUI, TUANTU ANH (DC)
Entity Type:Individual
Prefix:
First Name:TUANTU
Middle Name:ANH
Last Name:BUI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2344 MCKEE RD STE 45
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1616
Mailing Address - Country:US
Mailing Address - Phone:408-258-0357
Mailing Address - Fax:
Practice Address - Street 1:2344 MCKEE RD STE 45
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1616
Practice Address - Country:US
Practice Address - Phone:408-258-0357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC26352111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor