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Individual

GARY S BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6801 EMMETT F LOWRY EXPY, TEXAS CITY, TX 77591-2500
(409) 938-5000
(409) 938-5001
Mailing address
PO BOX 200993, HOUSTON, TX 77216-0993
(281) 784-1111
(281) 784-1555

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H6083
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1043296643
TRICARE SOUTH
TX
01
1083662787
BCBSTX
TX
05
140240634
TX
05
140240635
TX
05
176644608
TX
05
176644609
TX
01
8F9752
BCBSTX PROV NO
TX
01
8Y0144
BCBSTX
TX
Enumeration date
12/16/2005
Last updated
11/11/2010
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