Provider Demographics
NPI:1184601981
Name:BUI, DAVID RICHARD (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RICHARD
Last Name:BUI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6406 N IH 35
Mailing Address - Street 2:STE 2600
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-4352
Mailing Address - Country:US
Mailing Address - Phone:512-465-4800
Mailing Address - Fax:512-420-0118
Practice Address - Street 1:6406 N IH 35
Practice Address - Street 2:STE 2600
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-4352
Practice Address - Country:US
Practice Address - Phone:512-465-4800
Practice Address - Fax:512-420-0118
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1378207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB124672OtherWELLMED PTAN
TX045083502Medicaid
TX045083501Medicaid
TXF41944Medicare UPIN
TX8L3833Medicare PIN
TX86E232Medicare PIN
TXTXB124672Medicare PIN