Provider Demographics
NPI:1588956072
Name:BUI, JOHN DUC (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:DUC
Last Name:BUI
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Gender:M
Credentials:DO
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Mailing Address - Street 1:6420 ALTA MESA BLVD # 100
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132
Mailing Address - Country:US
Mailing Address - Phone:817-912-9000
Mailing Address - Fax:817-912-9010
Practice Address - Street 1:6420 ALTA MESA BLVD # 100
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132
Practice Address - Country:US
Practice Address - Phone:817-912-9000
Practice Address - Fax:817-912-9010
Is Sole Proprietor?:No
Enumeration Date:2011-05-03
Last Update Date:2023-04-26
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Provider Licenses
StateLicense IDTaxonomies
TXQ0883207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine