MEDICARE: TU BUI MD

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	390200000X	Student in an Organized Health Care Education/Training Program	29909	OK
2	2084P0800X	Psychiatry Physician	29909	OK

General Provider Information

NPI Number	:	1659712545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TU BUI MD

Provider Business Mailing Address
First Line	:	5300 N INDEPENDENCE AVE STE 280
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5555
Country	:	US
Telephone Number	:	405-604-3170
Fax Number	:	405-948-2745

Provider Business Practice Location Address
First Line	:	5100 N BROOKLINE AVE STE 900
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-3630
Country	:	US
Telephone Number	:	405-604-3170
Fax Number	:	405-948-2745

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

Provider Enumeration Date	:	07/09/2013
Last Update Date	:	03/26/2018

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Directions to “ TU BUI MD” Practice Location

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