Basic Information
| Provider Information | |||||||||
| NPI: | 1033572136 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MUI | ||||||||
| FirstName: | UYEN NGOC | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3601 4TH ST STOP 9400 | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794309400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067431842 | ||||||||
| FaxNumber: | 8067431105 | ||||||||
| Practice Location | |||||||||
| Address1: | 3601 4TH ST STOP 9400 | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794309400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067431842 | ||||||||
| FaxNumber: | 8067432487 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2016 | ||||||||
| LastUpdateDate: | 11/05/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | R3919 | TX | N | Allopathic & Osteopathic Physicians | General Practice | 207N00000X | R3919 | TX | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.