Individual
DR. KIMBERLY IERO BUENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1301 MEMORIAL DR, BRYAN, TX 77802-5205
(979) 731-4520
(979) 596-5853
Mailing address
1500 UNIVERSITY DR E, SUITE 100, COLLEGE STATION, TX 77840-2600
(979) 846-1100
(979) 260-9390
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K7672
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275726853
NPI CSCHC CLINIC
TX
05
—
154467801
—
TX
01
—
1649265646
NPI CLINIC
TX
01
—
1821185299
NPI AGENCY
TX
05
—
1878423-01
—
TX
05
—
187842301
—
TX
01
—
741715140
TAX ID
TX
Enumeration date
09/26/2005
Last updated
09/12/2024
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