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NPI Code Detail

MEDICARE: MARK QUOC-TIN BUI MD

MEDICARE: MARK QUOC-TIN BUI MD
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
1207L00000XAnesthesiology Physician29254NV
2390200000XStudent in an Organized Health Care Education/Training ProgramCA

General Provider Information

NPI Number : 1689323008
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK QUOC-TIN BUI MD
Provider Business Mailing Address
First Line : PO BOX 840857
Second Line :
City : DALLAS
State : TX
Zip : 75284-0857
Country : US
Telephone Number : 725-204-4632
Fax Number : 702-805-0307
Provider Business Practice Location Address
First Line : 7160 RAFAEL RIVERA WAY STE 210
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-5395
Country : US
Telephone Number : 725-204-4632
Fax Number : 702-805-0307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2022
Last Update Date : 05/29/2026

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