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General NPI Number Information
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NPI Number | 1104262799
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Entity Type | Organization
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Legal Business Name | QUYNHBUIMD PLLC
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Dates
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Enumeration Date | 05/22/2013
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 4401 GARTH RD
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City | BAYTOWN
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State | TX
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Zip | 77521-2122
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Country | US
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Telephone | 281-420-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 14507 WISTERIA HOLLOW LN
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City | HOUSTON
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State | TX
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Zip | 77062-2355
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | QUYNH-UYEN THI BUI
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Credential | MD
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Telephone | 713-850-1190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | L6303
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L6303
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License Number State | TX
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