MEDICARE: CARLOS E BUFORD NP

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	363L00000X	Nurse Practitioner	753580	TX
2	363LF0000X	Family Nurse Practitioner	AP115212	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

General Provider Information

NPI Number	:	1568629970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS E BUFORD NP

Provider Business Mailing Address
First Line	:	PO BOX 392929 1456
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-0001
Country	:	US
Telephone Number	:	713-461-2915
Fax Number	:	713-461-5307

Provider Business Practice Location Address
First Line	:	11529 S HIGHWAY 6
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4932
Country	:	US
Telephone Number	:	713-461-2915
Fax Number	:	713-461-5307

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

Provider Enumeration Date	:	05/22/2008
Last Update Date	:	07/07/2023

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Directions to “ CARLOS E BUFORD NP” Practice Location

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