Individual
JASON BUCKALOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
700 OLYMPIC PLAZA CIR STE 600, TYLER, TX 75701-1954
(903) 596-3844
Mailing address
700 OLYMPIC PLAZA CIR STE 600, TYLER, TX 75701-1954
(903) 596-3844
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19895
TX
363A00000X
Physician Assistant
Primary
PAT9117647
FL
363AM0700X
Medical Physician Assistant
PA9117647
FL
363AS0400X
Surgical Physician Assistant
PA19895
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124305100
—
FL
01
—
PA19895
PA LICENSE
TX
01
—
PAT9117647
STATE MEDICAL LICENSE
FL
Enumeration date
02/24/2021
Last updated
06/16/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up