Provider Demographics
NPI:1376837633
Name:BUI, TRINH ANH (RPH)
Entity Type:Individual
Prefix:
First Name:TRINH
Middle Name:ANH
Last Name:BUI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:984 GESSNER RD
Mailing Address - Street 2:T1435
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2505
Mailing Address - Country:US
Mailing Address - Phone:713-300-0228
Mailing Address - Fax:713-300-0228
Practice Address - Street 1:984 GESSNER RD
Practice Address - Street 2:T1435
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2505
Practice Address - Country:US
Practice Address - Phone:713-300-0228
Practice Address - Fax:713-300-0228
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-04
Last Update Date:2011-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30821183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist