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Organization
PETER M BUFFA SR PA
Active
Organization
PETER M BUFFA SR PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER MICHAEL BUFFA SR. M.D. (OWNER)
(254) 739-5744
Entity
Organization
Contact information
Practice address
600 S BONHAM ST, MEXIA, TX 76667-3603
(254) 739-5744
(254) 739-5751
Mailing address
PO BOX 1516, MEXIA, TX 76667-1516
(254) 739-5744
(254) 739-5751
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N4315
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209668701
—
TX
Enumeration date
06/07/2010
Last updated
10/12/2010
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