Individual
CHARLES RUSSELL BUCK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
50 HILLCREST MEDICAL BLVD STE 206, WACO, TX 76712
(254) 202-7950
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
Q9132
TX
Other
Enumeration date
04/07/2011
Last updated
12/07/2021
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