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Individual

DR. BAO QUOC BUI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(936) 631-3056
Mailing address
1201 W FRANK AVE, LUFKIN, TX 75904-3357
(963) 631-3056

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N7061
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2823981
TX
Enumeration date
08/23/2007
Last updated
08/19/2016
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