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Individual

MRS. BRENDA THERESA BUFFINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MIDWIFE

Contact information

Practice address
203 N. JACKSON, LIVINGSTON, TX 77351
(409) 739-3904
(936) 328-5226
Mailing address
452 ASHLEY, LIVINGSTON, TX 77351
(409) 739-3904
(936) 328-5226

Taxonomy

Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
96152
TX
176B00000X
Midwife
Primary
96152
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3648065
TX
Enumeration date
11/25/2006
Last updated
07/21/2022
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