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NPI Code Detail

MEDICARE: DR. CHRISTOPHER T BUCHANAN M.D.

MEDICARE: DR. CHRISTOPHER T BUCHANAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianL7993TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01227326OTHERTXMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194728865
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER T BUCHANAN M.D.
Provider Business Mailing Address
First Line : 1209 MEDICAL PLAZA CT
Second Line :
City : GRANBURY
State : TX
Zip : 76048-5684
Country : US
Telephone Number : 817-573-3272
Fax Number : 817-573-4626
Provider Business Practice Location Address
First Line : 1209 MEDICAL PLAZA CT
Second Line :
City : GRANBURY
State : TX
Zip : 76048-5684
Country : US
Telephone Number : 817-573-3272
Fax Number : 817-573-4626
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 05/23/2016

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