Individual
DR. ANDRES A BUENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 510-1186
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
18638
PR
207R00000X
Internal Medicine Physician
29812
PR
207R00000X
Internal Medicine Physician
P9054
TX
208M00000X
Hospitalist Physician
Primary
P9054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
752616777042
TRICARE
TX
01
—
8EK858
BCBS
TX
Enumeration date
06/30/2010
Last updated
06/20/2022
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