Provider Demographics
NPI:1568495687
Name:VISITING PHYSICIAN'S NETWORK, INC
Entity Type:Organization
Organization Name:VISITING PHYSICIAN'S NETWORK, INC
Other - Org Name:VISITING PHYSICIANS, LTD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:T
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-669-6585
Mailing Address - Street 1:2735 VILLA CREEK DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7456
Mailing Address - Country:US
Mailing Address - Phone:972-484-0040
Mailing Address - Fax:972-484-0070
Practice Address - Street 1:2735 VILLA CREEK DR
Practice Address - Street 2:SUITE 110
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7456
Practice Address - Country:US
Practice Address - Phone:972-484-0040
Practice Address - Fax:972-484-0070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W745Medicare PIN