NPI Code Details Logo

NPI 1558549386

NPI 1558549386 : BUCKNER RETIREMENT SERVICES, INC. : AUSTIN, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1558549386
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BUCKNER RETIREMENT SERVICES, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/04/2008
-----------------------------------------------------
    Last Update Date     |    08/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    11110 TOM ADAMS DR 
-----------------------------------------------------
    City                 |    AUSTIN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78753-3354
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-836-1515
-----------------------------------------------------
    Fax                  |    512-836-7627
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    12377 MERIT DR STE 900 
-----------------------------------------------------
    City                 |    DALLAS
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    75251-3102
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    214-758-8000
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MGR OF ADMINISTRATION & CONTRACT
-----------------------------------------------------
    Name                 |     JESSICA  MOORE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    214-758-8136
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    315D00000X
-----------------------------------------------------
    Taxonomy Name        |    Inpatient Hospice
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.