Organization
AUSTIN SURGICAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LEE BUCHANAN MD, DDS, FACS (OWNER)
(512) 366-7722
Entity
Organization
Contact information
Practice address
6012 W. WILLIAM CANNON, B101, AUSTIN, TX 78749
(512) 366-7722
(512) 366-7499
Mailing address
P.O. BOX 979, TAYLOR, TX 76574
(512) 366-7722
(512) 366-7499
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00N85T
MEDICARE GROUP
TX
Enumeration date
08/15/2007
Last updated
04/26/2016
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