Individual
CHARLES G BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 N HIGHLAND AVE STE 415, SHERMAN, TX 75092-7390
(903) 892-8111
(903) 893-8437
Mailing address
300 N HIGHLAND AVE STE 415, SHERMAN, TX 75092-7390
(903) 892-8111
(903) 893-8437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0814
TX
208600000X
Surgery Physician
Primary
D0814
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110133904
—
TX
Enumeration date
08/26/2005
Last updated
12/05/2011
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