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Individual

MR. STEVE RANDALL BUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2601 VETERANS DR, HARLINGEN, TX 78550-8942
(956) 291-9000
Mailing address
23 COUNTRY CLB, LAGUNA VISTA, TX 78578-2922
(972) 825-6500

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L5260
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000371057
BLUE CROSS
05
1601957
TX
05
160195703
TX
05
200401550
IN
01
D07564
MEDICARE RR PALMETTO
TX
01
DQ5280
MEDICARE RR PALMETTO
TX
01
P00947794
PALMETTO RR
TX
Enumeration date
03/17/2006
Last updated
10/17/2019
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