MEDICARE: DAVID BUCK 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	207Q00000X	Family Medicine Physician	H9826	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	105134401	OTHER	TX	CIDC

General Provider Information

NPI Number	:	1528148954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID BUCK MD

Provider Business Mailing Address
First Line	:	5055 MEDICAL CIRCLE STE 1320
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77204-0001
Country	:	US
Telephone Number	:	713-743-8684
Fax Number	:

Provider Business Practice Location Address
First Line	:	3737 DACOMA ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77092
Country	:	US
Telephone Number	:	713-790-7000
Fax Number	:	713-970-7246

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/28/2022

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