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Individual
MY-HUONG ELSA BUI
Active
Individual
MY-HUONG ELSA BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1139319
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031DG
BC/BS
—
05
—
0944746-02
—
TX
01
—
74-2745294
TAX ID
—
Enumeration date
03/28/2007
Last updated
02/08/2010
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