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BUCKNER FAMILY MEDICAL ASSOCIATION PA NPI 1437106945


NPI Information

NPI: 1437106945
Provider Name: BUCKNER FAMILY MEDICAL ASSOCIATION, PA

Doing Business As: PATIENTS CHOICE FAMILY MEDICINE AND REHAB

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D1022328

Address:
4801 S BUCKNER BLVD
SUITE 200
DALLAS, TX
ZIP 75227
Phone: (214) 381-7700
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BUCKNER FAMILY MEDICAL ASSOCIATION, PA is a family medicine in Dallas, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BUCKNER FAMILY MEDICAL ASSOCIATION, PA NPI is 1437106945. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Patients Choice Family Medicine And Rehab.

The provider's business location address is:

4801 S BUCKNER BLVD
SUITE 200
DALLAS, TX
ZIP 75227-304
Phone: (214) 381-7700
Fax: (214) 381-7702

The provider's authorized official is Michele C. Graham .
The authorized official title is Credentialing Specialist and has the following contact phone number (972) 245-1315.

The CLIA number assigned to this NPI record is 45D1022328 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 2/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyTEXASNo
2225100000XPhysical TherapistTEXASNo
3207Q00000XFamily MedicineTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100748WMEDICARE ID-TYPE UNSPECIFIEDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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