Organization
BUFFALO VISTA URGENT FAMILY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND DAVID IBONI D.O (PRESIDENT)
(214) 454-2466
Entity
Organization
Contact information
Practice address
1045 E RAILROAD, BUFFALO, TX 75831
(903) 322-9309
(903) 322-9066
Mailing address
2033 W MCDERMOTT DR STE 320-215, ALLEN, TX 75013-4694
(903) 322-9309
(903) 322-9066
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
L7424
TX
Other
Enumeration date
06/10/2011
Last updated
09/18/2012
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