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NPI Code Detail

MEDICARE: BUCKNER RETIREMENT SERVICES, INC.

MEDICARE: BUCKNER RETIREMENT SERVICES, INC.
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
1315D00000XInpatient Hospice

General Provider Information

NPI Number : 1073752101
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUCKNER RETIREMENT SERVICES, INC.
Provider Business Mailing Address
First Line : 12377 MERIT DR STE 900
Second Line :
City : DALLAS
State : TX
Zip : 75251-3102
Country : US
Telephone Number : 214-758-8031
Fax Number : 214-758-8153
Provider Business Practice Location Address
First Line : 1321 PARK BAYOU DR
Second Line :
City : HOUSTON
State : TX
Zip : 77077-1507
Country : US
Telephone Number : 281-556-9200
Fax Number : 281-556-9275
Authorized Official
Title or Position : MGR. OF ADMINISTRATION & CONTRACTS
Name : JESSICA MOORE
Credential :
Telephone Number : 214-758-8136
Provider Enumeration Date : 02/12/2009
Last Update Date : 08/01/2025

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Directions to “BUCKNER RETIREMENT SERVICES, INC. ” Practice Location

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