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General NPI Number Information
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NPI Number | 1003920760
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Entity Type | Individual
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Provider Name | MICHAEL E. BUXBAUM D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 09/21/2024
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Provider Practice Location Address
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Address Line | 3100 WESLAYAN ST STE 350
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City | HOUSTON
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State | TX
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Zip | 77027-5733
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Country | US
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Telephone | 713-533-1700
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Fax | 713-533-1708
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Provider Business Mailing Address
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Address Line | PO BOX 873
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City | BELLAIRE
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State | TX
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Zip | 77402-0873
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Country | US
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Telephone | 713-533-1700
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Fax | 713-533-1708
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | K7677
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | K7677
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License Number State | TX
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