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Individual

PATRICK CLAY BUZBEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA C

Contact information

Practice address
1545 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092
(817) 442-9300
(817) 416-0108
Mailing address
1545 E SOUTHLAKE BLVD, SUITE 100, SOUTHLAKE, TX 76092-6422
(817) 442-9300
(817) 796-0763

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA02891
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
B0135541
DPS
TX
Enumeration date
07/29/2006
Last updated
03/07/2023
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