Provider Demographics
NPI:1104089101
Name:BUI, HONG KIM THI (OD)
Entity type:Individual
Prefix:
First Name:HONG
Middle Name:KIM THI
Last Name:BUI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 PASADENA TOWN SQUARE MALL
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77506-4843
Mailing Address - Country:US
Mailing Address - Phone:713-472-7392
Mailing Address - Fax:713-472-2450
Practice Address - Street 1:201 PASADENA TOWN SQUARE MALL
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77506-4843
Practice Address - Country:US
Practice Address - Phone:713-472-7392
Practice Address - Fax:713-472-2450
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5031152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist