Individual
MARIE BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDP
Contact information
Practice address
17950 SUNMEADOW DR APT 4801, DALLAS, TX 75252-5390
(602) 881-0528
Mailing address
17950 SUNMEADOW DR APT 4801, DALLAS, TX 75252-5390
(602) 881-0528
Taxonomy
Speciality
Code
Description
License number
State
2084P0005X
Neurodevelopmental Disabilities Physician
Primary
1143
TX
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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