Healthcare Provider Details

I. General information

NPI: 1245570811
Provider Name (Legal Business Name): LYLY MINH-HANG BUI P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2013
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10851 SCARSDALE BLVD STE 160
HOUSTON TX
77089-5737
US

IV. Provider business mailing address

10851 SCARSDALE BLVD STE 160
HOUSTON TX
77089-5737
US

V. Phone/Fax

Practice location:
  • Phone: 281-824-1480
  • Fax: 346-523-0477
Mailing address:
  • Phone: 281-824-1480
  • Fax: 346-523-0477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: