Healthcare Provider Details

I. General information

NPI: 1558549386
Provider Name (Legal Business Name): BUCKNER RETIREMENT SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2008
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11110 TOM ADAMS DR
AUSTIN TX
78753-3354
US

IV. Provider business mailing address

12377 MERIT DR STE 900
DALLAS TX
75251-3102
US

V. Phone/Fax

Practice location:
  • Phone: 512-836-1515
  • Fax: 512-836-7627
Mailing address:
  • Phone: 214-758-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: JESSICA MOORE
Title or Position: MGR OF ADMINISTRATION & CONTRACT
Credential:
Phone: 214-758-8136