Provider Demographics
NPI:1881874279
Name:DR. LINDA L. BUI, LLC
Entity type:Organization
Organization Name:DR. LINDA L. BUI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BUI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:504-362-5214
Mailing Address - Street 1:1901 MANHATTAN BLVD
Mailing Address - Street 2:SUITE F-107
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-3582
Mailing Address - Country:US
Mailing Address - Phone:504-362-5214
Mailing Address - Fax:504-362-5224
Practice Address - Street 1:1901 MANHATTAN BLVD
Practice Address - Street 2:SUITE F-107
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-3582
Practice Address - Country:US
Practice Address - Phone:504-362-5214
Practice Address - Fax:504-362-5224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1386-522T305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5DC11Medicare PIN