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General NPI Number Information
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NPI Number | 1407853971
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Entity Type | Organization
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Legal Business Name | BUCKNER RETIREMENT SERVICES, INC.
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 1321 PARK BAYOU DR
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City | HOUSTON
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State | TX
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Zip | 77077-1507
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Country | US
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Telephone | 281-556-9200
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Fax | 281-556-9275
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Provider Business Mailing Address
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Address Line | 12377 MERIT DR STE 900
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City | DALLAS
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State | TX
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Zip | 75251-3102
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Country | US
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Telephone | 214-758-8000
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Fax |
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Authorized Official
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Title or Position | MGR OF ADMINISTRATION & CONTRACT
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Name | JESSICA MOORE
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Credential |
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Telephone | 214-758-8136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 10294
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 109955
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License Number State | TX
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