Individual
JOEY OLIVER BUQUING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6624 FANNIN ST, SUITE 1400, HOUSTON, TX 77030-4803
(713) 795-5511
(832) 553-6081
Mailing address
6624 FANNIN ST, SUITE 1400, HOUSTON, TX 77030-4803
(713) 795-5511
(832) 553-6081
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K1787
TX
207RN0300X
Nephrology Physician
Primary
K1787
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119046401
—
TX
01
—
AMERIGROUP 52499
AMERIGROUP
—
01
—
BCBS 81091X
BCBS
—
Enumeration date
06/08/2005
Last updated
12/15/2010
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