Healthcare Provider Details

I. General information

NPI: 1508354440
Provider Name (Legal Business Name): ALYXANDRA LIEN BUI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1920 N COIT RD STE 200-178
RICHARDSON TX
75080-2832
US

IV. Provider business mailing address

1920 N COIT RD STE 200-178
RICHARDSON TX
75080-2832
US

V. Phone/Fax

Practice location:
  • Phone: 469-835-0246
  • Fax: 469-899-2036
Mailing address:
  • Phone: 469-892-8939
  • Fax: 469-899-2036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036164863
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2023025928
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number02007214A
License Number StateIN
# 4
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberT6845
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: