Provider Demographics
NPI:1568004349
Name:BUI, SANDRA KIEU TRAN (OD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:KIEU TRAN
Last Name:BUI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2677 WILCREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3211
Mailing Address - Country:US
Mailing Address - Phone:713-977-1170
Mailing Address - Fax:713-977-3327
Practice Address - Street 1:2677 WILCREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3211
Practice Address - Country:US
Practice Address - Phone:713-977-1170
Practice Address - Fax:713-977-3327
Is Sole Proprietor?:No
Enumeration Date:2019-10-12
Last Update Date:2021-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9778T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist