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Individual

ANN MARIE BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 476-7111
Mailing address
13708 COUNTRY LAKE DR, AUSTIN, TX 78732-1944
(512) 266-0706

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M0364
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M0364
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173337001
TX
05
173337002
TX
Enumeration date
06/07/2006
Last updated
05/12/2010
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