MEDICARE: BONG MUI MD PA

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
1	207Q00000X	Family Medicine Physician	M4384	TX

General Provider Information

NPI Number	:	1396709242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BONG MUI MD PA

Provider Business Mailing Address
First Line	:	13480 VETERANS MEMORIAL DR
Second Line	:	R-1
City	:	HOUSTON
State	:	TX
Zip	:	77014-1696
Country	:	US
Telephone Number	:	281-287-1600
Fax Number	:	281-587-1601

Provider Business Practice Location Address
First Line	:	13480 VETERANS MEMORIAL DR
Second Line	:	R-1
City	:	HOUSTON
State	:	TX
Zip	:	77014-1696
Country	:	US
Telephone Number	:	281-287-1600
Fax Number	:	281-587-1601

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	TAMMY MUI
Credential	:
Telephone Number	:	281-587-1600

Provider Enumeration Date	:	04/15/2006
Last Update Date	:	03/21/2011

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Directions to “BONG MUI MD PA ” Practice Location

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