Provider Demographics
NPI:1508886607
Name:BUI, ANH-THU (OD)
Entity Type:Individual
Prefix:
First Name:ANH-THU
Middle Name:
Last Name:BUI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6909 N LOOP 1604 E
Mailing Address - Street 2:STE 1113
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-5317
Mailing Address - Country:US
Mailing Address - Phone:210-651-0985
Mailing Address - Fax:210-651-0476
Practice Address - Street 1:6909 N LOOP 1604 E
Practice Address - Street 2:STE 1113
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-5317
Practice Address - Country:US
Practice Address - Phone:210-651-0985
Practice Address - Fax:210-651-0476
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6200T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management