Individual
ROSEMARY BUCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
107 SHULT DR, SUITE 200, COLUMBUS, TX 78934-3015
(979) 493-7762
Mailing address
110 SHULT DR, COLUMBUS, TX 78934-3016
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
H7540
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115331402
—
TX
Enumeration date
12/22/2005
Last updated
11/03/2025
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