Individual
JENNY PHUONG BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 WESTPARK WAY, EULESS, TX 76040-3963
(817) 733-3612
Mailing address
5717 FRIO DR, HALTOM CITY, TX 76137-5550
(817) 733-3612
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
05/12/2022
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