Individual
DR. LISA MCKAY BUCKMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 7TH AVE, FORT WORTH, TX 76104-2722
(682) 885-6850
(682) 885-6799
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-8483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
E2549
AR
207YP0228X
Pediatric Otolaryngology Physician
Primary
P3862
TX
Other
Enumeration date
08/11/2006
Last updated
01/10/2022
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