MEDICARE: DR. LISA MCKAY BUCKMILLER MD

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	207YP0228X	Pediatric Otolaryngology Physician	E2549	AR
2	207YP0228X	Pediatric Otolaryngology Physician	P3862	TX

General Provider Information

NPI Number	:	1033120399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISA MCKAY BUCKMILLER MD

Provider Business Mailing Address
First Line	:	PO BOX 733784
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75373-3784
Country	:	US
Telephone Number	:	682-885-8483
Fax Number	:	682-885-3113

Provider Business Practice Location Address
First Line	:	901 7TH AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2722
Country	:	US
Telephone Number	:	682-885-6850
Fax Number	:	682-885-6799

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

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	01/10/2022

Similar Medicare Providers

1538140710 — PEDIATRIC SURGICAL ASSOCIATES OF FT. WORTH, P. A.
Practice Location Address:

901 7TH AVE , SUITE 210
FORT WORTH, TX
76104-2722

Practice Phone: 817-336-7881
Practice Fax: 817-336-6821

1801851027 — DR. HARI KUMARESAN M.D.
Practice Location Address:

901 7TH AVE STE 2200
FORT WORTH, TX
76104-2722

Practice Phone: 682-885-1050
Practice Fax: 682-885-7572

1477646560 — SHANTI S NAGIREDDY MD
Practice Location Address:

901 7TH AVE STE 2200
FORT WORTH, TX
76104-2722

Practice Phone: 682-885-1050
Practice Fax: 682-885-7572

1508941691 — MARY CHRISTINE BANNER MD
Practice Location Address:

901 7TH AVE
FORT WORTH, TX
76104-2722

Practice Phone: 682-885-1050
Practice Fax: 682-885-7572

1396890919 — TOLLESON C TAYLOR MD
Practice Location Address:

901 7TH AVE
FORT WORTH, TX
76104-2722

Practice Phone: 682-885-1050
Practice Fax: 682-885-7572

1942345301 — ROSA A SANCHEZ RNFA
Practice Location Address:

901 7TH AVE , STE 120
FORT WORTH, TX
76104-2722

Practice Phone: 682-885-2500
Practice Fax: 682-885-2510

Directions to “ DR. LISA MCKAY BUCKMILLER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.