Healthcare Provider Details

I. General information

NPI: 1003920760
Provider Name (Legal Business Name): MICHAEL E. BUXBAUM D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 WESLAYAN ST STE 350
HOUSTON TX
77027-5733
US

IV. Provider business mailing address

PO BOX 873
BELLAIRE TX
77402-0873
US

V. Phone/Fax

Practice location:
  • Phone: 713-533-1700
  • Fax: 713-533-1708
Mailing address:
  • Phone: 713-533-1700
  • Fax: 713-533-1708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberK7677
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License NumberK7677
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: