Healthcare Provider Details

I. General information

NPI: 1861803058
Provider Name (Legal Business Name): LAURA BETH BUFORD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2014
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11100 HEFNER POINTE DR STE B
OKLAHOMA CITY OK
73120-5049
US

IV. Provider business mailing address

8825 BEE CAVES RD STE 100
AUSTIN TX
78746-4721
US

V. Phone/Fax

Practice location:
  • Phone: 405-692-3376
  • Fax: 405-692-3377
Mailing address:
  • Phone: 512-328-3376
  • Fax: 513-666-3767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberR9191
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: