Organization
BUCKNER FAMILY MEDICAL ASSOCIATION, PA
Active
Other names
Patients Choice Family Medicine and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE C. GRAHAM (CREDENTIALING SPECIALIST)
(972) 245-1315
Entity
Organization
Contact information
Practice address
4801 S BUCKNER BLVD, SUITE 200, DALLAS, TX 75227-2304
(214) 381-7700
(214) 381-7702
Mailing address
4801 S BUCKNER BLVD, SUITE 200, DALLAS, TX 75227-2304
(214) 381-7700
(214) 381-7702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
225100000X
Physical Therapist
—
TX
363LF0000X
Family Nurse Practitioner
—
TX
Other
Enumeration date
05/28/2006
Last updated
02/20/2008
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