Provider Demographics
NPI:1780790204
Name:BUI, OANH NGOC (DO)
Entity type:Individual
Prefix:
First Name:OANH
Middle Name:NGOC
Last Name:BUI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10680 JONES RD STE 600
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4295
Mailing Address - Country:US
Mailing Address - Phone:281-477-0417
Mailing Address - Fax:832-604-7604
Practice Address - Street 1:10680 JONES RD STE 600
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-4295
Practice Address - Country:US
Practice Address - Phone:281-477-0417
Practice Address - Fax:281-477-0166
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1545207V00000X, 207VG0400X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX178170001Medicaid
TX8U7500OtherBCBS
TX178170001Medicaid
TX00956ZMedicare PIN
TX8F1983Medicare PIN