Provider Demographics
NPI:1487618435
Name:MUI, BONG QUY (MD)
Entity type:Individual
Prefix:
First Name:BONG
Middle Name:QUY
Last Name:MUI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:13480 VETERANS MEMORIAL DR
Mailing Address - Street 2:#R1
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-1696
Mailing Address - Country:US
Mailing Address - Phone:281-587-1600
Mailing Address - Fax:281-587-1601
Practice Address - Street 1:13480 VETERANS MEMORIAL DR
Practice Address - Street 2:#R1
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1696
Practice Address - Country:US
Practice Address - Phone:281-587-1600
Practice Address - Fax:281-587-1601
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-15
Last Update Date:2010-07-01
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Provider Licenses
StateLicense IDTaxonomies
LA017070207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
8F2464Medicare UPIN