Individual
BRIAN C. BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 BEE CAVE ROAD, SUITE C-102, AUSTIN, TX 78746-6493
(512) 279-2386
(512) 279-2387
Mailing address
PO BOX 160940, AUSTIN, TX 78716-0940
(512) 279-2386
(512) 279-2387
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
H4878
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
H4878
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
H4878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134872410
—
TX
Enumeration date
06/02/2005
Last updated
05/12/2011
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