Individual
DR. BUCK DUANE VANDORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
1804 S 10TH ST, MCALLEN, TX 78503-5402
(956) 972-0047
Mailing address
1804 S 10TH ST, MCALLEN, TX 78503-5402
(956) 687-2875
(956) 687-3128
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
851
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB122590
MEDICARE
TX
Enumeration date
08/05/2006
Last updated
10/31/2012
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