Provider Demographics
NPI:1659558617
Name:BUI, CHRISTINA MY-PHUONG (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MY-PHUONG
Last Name:BUI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 761269
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-6269
Mailing Address - Country:US
Mailing Address - Phone:210-688-9257
Mailing Address - Fax:210-568-4045
Practice Address - Street 1:10919 CULEBRA RD
Practice Address - Street 2:SUITE 122
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253
Practice Address - Country:US
Practice Address - Phone:210-688-9257
Practice Address - Fax:210-568-4045
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2013-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM7070207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX192905105Medicaid
TXTXB148653Medicare PIN