Individual ProviderTi An BuiNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address448 Castroville Rd, San Antonio, TX 78207-5147(210) 434-1400PECOS EnrollmentThis provider is enrolled in PECOS as TI BUI.Based on the most recent information from CMS, provider Ti An Bui is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1356179105Provider TypeIndividualFull NameBui, Ti AnCredentialNPGenderFemaleSole ProprietorYesEnumeration Date7/23/2024Last Updated10/15/2024Contact InformationPractice LocationPractice Address448 Castroville Rd, San Antonio, TX 78207-5147Phone(210) 434-1400Fax(210) 431-7472Mailing LocationMailing Address448 Castroville Rd, San Antonio, TX 78207-5147Phone(210) 434-1400Fax(210) 431-7472Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense1176535TexasCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense984338Texas