Provider Demographics
NPI:1932393774
Name:BUI, HUAN T (PA-C)
Entity Type:Individual
Prefix:MR
First Name:HUAN
Middle Name:T
Last Name:BUI
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:MR
Other - First Name:HUAN
Other - Middle Name:THO
Other - Last Name:BUI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:10302 FOUNTAIN SHORES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3995
Mailing Address - Country:US
Mailing Address - Phone:832-204-4984
Mailing Address - Fax:832-912-4903
Practice Address - Street 1:10680 JONES RD
Practice Address - Street 2:SUITE 1000
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-5594
Practice Address - Country:US
Practice Address - Phone:832-204-4984
Practice Address - Fax:832-912-4903
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC7239111NR0400X
TXPA07058363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU65751Medicaid