Individual
JASON BUENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 LONDONDERRY DR STE 105, WACO, TX 76712-7920
(254) 776-0266
Mailing address
405 LONDONDERRY DR STE 105, WACO, TX 76712-7920
(254) 776-0266
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
U0973
TX
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
NC
Other
Enumeration date
04/01/2019
Last updated
06/29/2023
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