| Doctor Name: | DR. KING LANDISS BUCHANAN |
| NPI Number: | 1003835471 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | TX23833 |
| Business Practice Address: | 8008 Slide Rd Lubbock, TX - 794242841 |
| Business Phone Number: | 8067988855 |
| Business Fax Number: | |
| Mailing Address: | 5527 79th St, LUBBOCK |
| State: | TX |
| Postal Code: | 794242605 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | TX23833 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |