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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
1314000000XSkilled Nursing Facility113507TX

General Provider Information

NPI Number : 1689608614
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 : 214-758-8000
Fax Number :
Provider Business Practice Location Address
First Line : 7080 CALDER AVE
Second Line :
City : BEAUMONT
State : TX
Zip : 77706-6052
Country : US
Telephone Number : 409-861-1123
Fax Number : 409-861-2426
Authorized Official
Title or Position : MGR OF ADMINISTRATION & CONTRACT
Name : JESSICA MOORE
Credential :
Telephone Number : 214-758-8136
Provider Enumeration Date : 07/10/2006
Last Update Date : 08/01/2025

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

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