Individual
REBECCA BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
450 W MEDICAL CENTER BLVD STE 600, WEBSTER, TX 77598-4233
(832) 390-5434
Mailing address
12825 VILLA MILANO DR, FORT WORTH, TX 76126-6114
(817) 946-8385
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA19354
TX
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
07/17/2025
Last updated
07/29/2025
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