| Doctor Name: | RHEA MICHELLE BUYCKS |
| NPI Number: | 1013288687 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 2068 |
| Business Practice Address: | 908 N Rockford Rd Suite G Ardmore, OK - 734012540 |
| Business Phone Number: | 5804909411 |
| Business Fax Number: | 5804909415 |
| Mailing Address: | 1405 4th Nwave 311, ARDMORE |
| State: | OK |
| Postal Code: | 734012708 |
| Phone Number: | 5804903336 |
| Fax Number: | 5804903342 |
| NPI Enumeration Date: | 01/13/2012 |
| NPI Last Update Date: | 08/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 2068 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |