Individual
COURTNEY BUZBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 TUSCAN DR, STE 205, IRVING, TX 75039-4133
(972) 253-2505
(972) 253-2506
Mailing address
2021 N MACARTHUR BLVD, STE 150, IRVING, TX 75061-2219
(972) 253-2560
(972) 253-4218
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3150211 01
—
TX
01
—
PA02889
STATE LICENSE
TX
Enumeration date
05/18/2007
Last updated
03/02/2017
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