Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | R3919 | TX |
N | 208D00000X | General Practice Physician | R3919 | TX |
NPI | 1033572136 |
---|---|
Provider Name | Uyen Ngoc Mui |
First Address | Lubbock, TX 79430-9400 |
Second Address | Lubbock, TX 79430-9400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2016 |
Last Update Date | 05/11/2020 |