MEDICARE: MICHAEL E. BUXBAUM D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	K7677	TX
2	207QA0505X	Adult Medicine Physician	K7677	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8BG950	OTHER	TX	BCBS TX
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003920760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL E. BUXBAUM D.O.

Provider Business Mailing Address
First Line	:	PO BOX 873
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77402-0873
Country	:	US
Telephone Number	:	713-533-1700
Fax Number	:	713-533-1708

Provider Business Practice Location Address
First Line	:	3100 WESLAYAN ST STE 350
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-5733
Country	:	US
Telephone Number	:	713-533-1700
Fax Number	:	713-533-1708

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	09/21/2024

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Directions to “ MICHAEL E. BUXBAUM D.O.” Practice Location

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