Organization
STEVE RANDALL BUCK DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE RANDALL BUCK DO (PRESIDENT)
(972) 825-6500
Entity
Organization
Contact information
Practice address
7460 WARREN PKWY, SUITE 160, FRISCO, TX 75034-4169
(972) 825-6500
Mailing address
PO BOX 370, MAYPEARL, TX 76064-0370
(972) 825-6500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006NR
HMO BLUE TEXAS
TX
01
—
0007356725
AETNA
TX
01
—
0704278
UNITED HEALTH CARE
TX
05
—
1601957
—
TX
01
—
DG1252
MEDICARE RAILROAD
TX
Enumeration date
07/06/2006
Last updated
12/12/2011
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