# EDWARD D BUCKINGHAM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467434142
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | K5468 | TX | Yes |

## Other

- **Enumeration date:** 11/17/2005
- **Last updated:** 11/06/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 144634100 | FIRST CARE | — |
| 05 | — | 163600302 | — | TX |
| 01 | — | 276816 | AMERIGROUP | — |
| 01 | — | 8V2550 | BCBS | TX |