Provider Demographics
NPI:1487652996
Name:LE, DAI BUI (MD)
Entity type:Individual
Prefix:DR
First Name:DAI
Middle Name:BUI
Last Name:LE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6140 HIGHWAY 6
Mailing Address - Street 2:#177
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3802
Mailing Address - Country:US
Mailing Address - Phone:281-261-7385
Mailing Address - Fax:281-261-7389
Practice Address - Street 1:5819 HIGHWAY 6
Practice Address - Street 2:SUITE 240
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4052
Practice Address - Country:US
Practice Address - Phone:281-261-7385
Practice Address - Fax:281-261-7389
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2015-03-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK7790208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162308401Medicaid
I08052Medicare UPIN