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NPI Code Detail

MEDICARE: BUCKINGHAM SENIOR LIVING COMMUNITY INC

MEDICARE: BUCKINGHAM SENIOR LIVING COMMUNITY INC
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
1314000000XSkilled Nursing Facility116910TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1102407OTHERTXTDADS FACILITY ID

General Provider Information

NPI Number : 1356396279
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUCKINGHAM SENIOR LIVING COMMUNITY INC
Provider Business Mailing Address
First Line : 8580 WOODWAY DR
Second Line :
City : HOUSTON
State : TX
Zip : 77063-2423
Country : US
Telephone Number : 713-979-3100
Fax Number :
Provider Business Practice Location Address
First Line : 8530 WOODWAY DR
Second Line :
City : HOUSTON
State : TX
Zip : 77063-2423
Country : US
Telephone Number : 713-979-3777
Fax Number : 713-979-3778
Authorized Official
Title or Position : BILLING SPECIALIST
Name : JEAN DOPLER
Credential :
Telephone Number : 903-413-1448
Provider Enumeration Date : 05/23/2006
Last Update Date : 02/17/2023

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Directions to “BUCKINGHAM SENIOR LIVING COMMUNITY INC ” Practice Location

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