MEDICARE: JULIE THY BUI

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	363A00000X	Physician Assistant	PA19651	TX

General Provider Information

NPI Number	:	1649053273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE THY BUI

Provider Business Mailing Address
First Line	:	17817 FM 529 RD STE 109
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-1011
Country	:	US
Telephone Number	:	832-810-9021
Fax Number	:

Provider Business Practice Location Address
First Line	:	17817 FM 529 RD STE 109
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-1011
Country	:	US
Telephone Number	:	832-810-9021
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2023
Last Update Date	:	12/10/2025

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