Individual
CARALEIGH NICOLE BUXIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4450 TUBBS RD, ROCKWALL, TX 75032-6308
(972) 722-3290
(972) 722-3815
Mailing address
4450 TUBBS RD, ROCKWALL, TX 75032-6308
(972) 722-3290
(972) 722-3815
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
P6593
TX
208600000X
Surgery Physician
Primary
P6593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320241YN0Q
MCPTAN
TX
05
—
330275401
—
TX
01
—
P01274849
RR MC
TX
01
—
P6593
TX ST LICENSE
TX
Enumeration date
05/02/2008
Last updated
11/04/2015
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