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Individual

DR. GARY LEWIS BUETTNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
902 FROSTWOOD DR, STE 256, HOUSTON, TX 77024-2418
(713) 935-9485
(713) 935-0326
Mailing address
902 FROSTWOOD DR, STE 256, HOUSTON, TX 77024-2418
(713) 935-9485
(713) 935-0326

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1984TG
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124530005
TX
01
5462141
AETNA
01
80835Q
BCBS
TX
01
8112452
BLUE LINK
01
918844
EYEMED
Enumeration date
06/21/2005
Last updated
01/23/2012
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