=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942589452
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NORTHWEST WOMENS HEALTHCARE CENTER PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/15/2011
-----------------------------------------------------
Last Update Date | 03/28/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9645 BARKER CYPRESS RD STE 100
-----------------------------------------------------
City | CYPRESS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77433-5292
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-894-2900
-----------------------------------------------------
Fax | 281-890-4196
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21216 NORTHWEST FWY 420
-----------------------------------------------------
City | CYPRESS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77429-1439
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-894-2900
-----------------------------------------------------
Fax | 281-890-4196
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | OANH NGOC BUI
-----------------------------------------------------
Credential | D.O.
-----------------------------------------------------
Telephone | 281-894-2900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------