Provider Demographics
NPI:1710996376
Name:BUI, HOA K (DDS)
Entity Type:Individual
Prefix:
First Name:HOA
Middle Name:K
Last Name:BUI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5713 BISSONNET ST
Mailing Address - Street 2:SUITE D&E
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4726
Mailing Address - Country:US
Mailing Address - Phone:713-378-4322
Mailing Address - Fax:713-378-4390
Practice Address - Street 1:5713 BISSONNET ST
Practice Address - Street 2:SUITE D&E
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4726
Practice Address - Country:US
Practice Address - Phone:713-378-4322
Practice Address - Fax:713-378-4390
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2021-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20730122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154204501Medicaid