Individual
DR. BUCK WAYNE MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3302 53RD ST, LUBBOCK, TX 79413-4204
(806) 791-5150
Mailing address
3302 53RD ST, LUBBOCK, TX 79413-4204
(806) 791-5150
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E8712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000U0063
NM MEDICAID
NM
01
—
050000074
RR MEDICARE
TX
01
—
110084402
MO MEDICAID
MO
05
—
110084402
—
TX
01
—
119196100
FIRSTCARE
TX
01
—
179151800
WORKER COMP - DOJ
TX
01
—
MDE8712
WORKERS COMP
TX
Enumeration date
10/13/2005
Last updated
11/20/2012
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