Individual
PETER MICHAEL BUFFA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PA
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 556-7600
(659) 235-6176
Mailing address
PO BOX 680060, FRANKLIN, TN 37068-0060
(877) 848-1457
(659) 235-6176
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD2026-0284
NM
207P00000X
Emergency Medicine Physician
N4315
TX
207Q00000X
Family Medicine Physician
52363
KY
207Q00000X
Family Medicine Physician
N4315
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209668701
—
TX
Enumeration date
10/21/2008
Last updated
05/22/2026
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