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1871552059

NPI Code Detail

MEDICARE: MR. STEVE RANDALL BUCK DO

MEDICARE: MR. STEVE RANDALL BUCK DO

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
1	208100000X	Physical Medicine & Rehabilitation Physician	L5260	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D07564	OTHER	TX	MEDICARE RR PALMETTO
3	DQ5280	OTHER	TX	MEDICARE RR PALMETTO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	P00947794	OTHER	TX	PALMETTO RR
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	000000371057	OTHER		BLUE CROSS

General Provider Information

NPI Number	:	1871552059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVE RANDALL BUCK DO

Provider Business Mailing Address
First Line	:	23 COUNTRY CLB
Second Line	:
City	:	LAGUNA VISTA
State	:	TX
Zip	:	78578-2922
Country	:	US
Telephone Number	:	972-825-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 VETERANS DR
Second Line	:
City	:	HARLINGEN
State	:	TX
Zip	:	78550-8942
Country	:	US
Telephone Number	:	956-291-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	10/17/2019

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Directions to “ MR. STEVE RANDALL BUCK DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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