Provider Demographics
NPI:1861090052
Name:BUI, DAVID T
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:T
Last Name:BUI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 CUNNINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-5005
Mailing Address - Country:US
Mailing Address - Phone:214-727-8175
Mailing Address - Fax:
Practice Address - Street 1:506 CUNNINGHAM DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-5005
Practice Address - Country:US
Practice Address - Phone:214-727-8175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-11
Last Update Date:2020-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide