MEDICARE: BUCKNER 30 CHIROPRACTIC CLINIC, 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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1285787127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUCKNER 30 CHIROPRACTIC CLINIC, INC.

Provider Business Mailing Address
First Line	:	1919 VETERANS BLVD
Second Line	:	SUITE 200
City	:	KENNER
State	:	LA
Zip	:	70062
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3040 N BUCKNER BLVD
Second Line	:	SUITE 102
City	:	DALLAS
State	:	TX
Zip	:	75228-5282
Country	:	US
Telephone Number	:	214-660-0016
Fax Number	:

Authorized Official
Title or Position	:	EXECTUIVE ASSISTANT
Name	:	BUFFIE L ROME IV
Credential	:
Telephone Number	:	504-467-0302

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1801689328 — EMILY ROSE WHEELOCK LCDC
Practice Location Address:

4701 SAMUELL BLVD
DALLAS, TX
75228-6828

Practice Phone: 972-861-5611
Practice Fax:

1164941274 — MRS. SUZANNE MARGARET ZEMAN LMFT-A
Practice Location Address:

4701 SAMUELL BLVD
DALLAS, TX
75228-6828

Practice Phone: 214-743-1200
Practice Fax:

1972249860 — MRS. STACEY DENISE SMITH PMHNP-BC
Practice Location Address:

4645 SAMUELL BLVD
DALLAS, TX
75228-6826

Practice Phone: 214-743-1200
Practice Fax:

1760031165 — ROSEMARY ULOMA OKOROAFOR
Practice Location Address:

4645 SAMUELL BLVD
DALLAS, TX
75228-6826

Practice Phone: 214-743-1200
Practice Fax:

1699304568 — DIANA KHOA NGUYEN DO
Practice Location Address:

4701 SAMUELL BLVD
DALLAS, TX
75228-6828

Practice Phone: 972-861-5611
Practice Fax:

1033719166 — BETTY W MULINDI
Practice Location Address:

4701 SAMUELL BLVD
DALLAS, TX
75228-6828

Practice Phone: 214-743-1200
Practice Fax:

Directions to “BUCKNER 30 CHIROPRACTIC CLINIC, INC. ” 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 © 2007-2025 (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.