Provider Demographics
NPI:1487850970
Name:BUENO HUME, CELYNE (MD)
Entity Type:Individual
Prefix:
First Name:CELYNE
Middle Name:
Last Name:BUENO HUME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CELYNE
Other - Middle Name:L
Other - Last Name:BUENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:18100 SAINT JOHN DR
Mailing Address - Street 2:SUITE 320
Mailing Address - City:NASSAU BAY
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3631
Mailing Address - Country:US
Mailing Address - Phone:713-563-0670
Mailing Address - Fax:
Practice Address - Street 1:18100 SAINT JOHN DR
Practice Address - Street 2:SUITE 320
Practice Address - City:NASSAU BAY
Practice Address - State:TX
Practice Address - Zip Code:77058
Practice Address - Country:US
Practice Address - Phone:713-563-0670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98987207R00000X
LA026590207R00000X
TXN6197207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX215762001Medicaid
TX8CL917OtherBCBS
FLAE711ZOtherMEDICARE