Individual
JIM BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
220 WESTSIDE DR STE 200, DECATUR, TX 76234-3868
(918) 619-3256
Mailing address
220 WESTSIDE DR STE 200, DECATUR, TX 76234-3868
(918) 619-3256
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
6240
TX
225100000X
Physical Therapist
829
OK
Other
Enumeration date
09/09/2014
Last updated
01/12/2024
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