Individual
MATTHEW BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 960-7500
Mailing address
3551 ROGER BROOKE DR, SAN ANTONIO, TX 78234-4504
(210) 960-7500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60297815
WA
171000000X
Military Health Care Provider
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60451841
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP60451841
WA STATE BOARD OF HEALTH
WA
Enumeration date
11/21/2013
Last updated
09/16/2025
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