Provider Demographics
NPI:1609964113
Name:BUI, THOMAS P (OD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:BUI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1828 AIRLINE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-2952
Mailing Address - Country:US
Mailing Address - Phone:713-802-9963
Mailing Address - Fax:
Practice Address - Street 1:1828 AIRLINE DR
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-2952
Practice Address - Country:US
Practice Address - Phone:713-802-9963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6551-T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX258900Medicare UPIN