Organization Name: | TODD D. BUCHANAN, M.D., P.A. |
NPI Number: | 1003206699 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TODD D. BUCHANAN (PRESIDENT) |
Mailing Address: | 104 W Mercer St Dripping Springs |
State: | TX US |
Postal Code: | 786205248 |
Phone Number: | 5128584166 |
Fax Number: | 5128584196 |
NPI Enumeration Date: | 02/03/2015 |
NPI Last Update Date: | 02/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 235901 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |