Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | S3496 | TX |
NPI | 1518294594 |
---|---|
Provider Name | Trang Nguyen Bui |
First Address | San Antonio, TX 78207-0903 |
Second Address | San Antonio, TX 78207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2009 |
Last Update Date | 06/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
402835901 | (05) | TX |