Provider Demographics
NPI:1497082465
Name:BUI, XUAN THI AI (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:XUAN
Middle Name:THI AI
Last Name:BUI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2840 GILLESPIE LN
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-0727
Mailing Address - Country:US
Mailing Address - Phone:817-937-7233
Mailing Address - Fax:817-860-9510
Practice Address - Street 1:2200 E PIONEER PKWY
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-5243
Practice Address - Country:US
Practice Address - Phone:817-860-9510
Practice Address - Fax:817-860-9515
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39427183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist