Provider Demographics
NPI:1205809092
Name:BUI, THANG Q (AP)
Entity type:Individual
Prefix:MR
First Name:THANG
Middle Name:Q
Last Name:BUI
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 COVERED BRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3356
Mailing Address - Country:US
Mailing Address - Phone:407-766-3173
Mailing Address - Fax:
Practice Address - Street 1:1213 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-2540
Practice Address - Country:US
Practice Address - Phone:407-898-9794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2143171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist