Phong Tuan Bui
Technician in Memphis, TN. Individual provider (NPI-1).
NPI number1407510928
StatusActive
Last updated in NPPESOct 30, 2021
Details
- NPI
- 1407510928
- Entity type
- Individual (NPI-1)
- Name
- Phong Tuan Bui
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2021
- Certification date
- Oct 21, 2021
- Last updated
- Oct 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | TN | Yes |
Practice location
2863 Churchill StMemphis, TN 38118-2630
Phone 901-267-9143
Mailing address
3771 Poplar AveMemphis, TN 38111-6020
Phone 901-584-8281
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