MEDICARE: AARON KEITH BUZZARD 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	207P00000X	Emergency Medicine Physician	0101239139	VA
2	207P00000X	Emergency Medicine Physician	M9896	TX

General Provider Information

NPI Number	:	1760585194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON KEITH BUZZARD MD

Provider Business Mailing Address
First Line	:	10485 S FM 2038
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77808
Country	:	US
Telephone Number	:	210-380-6017
Fax Number	:

Provider Business Practice Location Address
First Line	:	10485 S FM 2038
Second Line	:
City	:	BRYAN
State	:	TX
Zip	:	77808
Country	:	US
Telephone Number	:	210-380-6017
Fax Number	:

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

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	10/24/2014

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Directions to “ AARON KEITH BUZZARD MD” Practice Location

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