Individual
WILLIAM MATTHEW BUCKMASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1820 COUNTY ROAD 36, ANGLETON, TX 77515-8727
(409) 382-9295
Mailing address
1820 COUNTRY RD. 36, 14103 TIMBER BLUFF DR. PEARLAND TX 77584, ANGELTON, TX 77515
(409) 382-9295
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11580
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11580
LCDC LICENSE NUMBER
TX
Enumeration date
08/28/2016
Last updated
08/28/2016
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