MEDICARE: VISITING PHYSICIAN'S NETWORK, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
2	207QG0300X	Geriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1568495687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISITING PHYSICIAN'S NETWORK, INC

Provider Business Mailing Address
First Line	:	2735 VILLA CREEK DR
Second Line	:	SUITE 110
City	:	DALLAS
State	:	TX
Zip	:	75234-7456
Country	:	US
Telephone Number	:	972-484-0040
Fax Number	:	972-484-0070

Provider Business Practice Location Address
First Line	:	2735 VILLA CREEK DR
Second Line	:	SUITE 110
City	:	DALLAS
State	:	TX
Zip	:	75234-7456
Country	:	US
Telephone Number	:	972-484-0040
Fax Number	:	972-484-0070

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TONY T BUI
Credential	:	M.D.
Telephone Number	:	214-669-6585

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	11/05/2009

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