Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 18292 | TX |
NPI | 1104923440 |
---|---|
Provider Name | Dinh Xuan Bui |
First Address | Houston, TX 77072 |
Second Address | Houston, TX 77072 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 07/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009328804 | (05) | TX |