MEDICARE: BUCKNER CHILDREN & FAMILY SERVICES

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	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1851396030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUCKNER CHILDREN & FAMILY SERVICES

Provider Business Mailing Address
First Line	:	5200 S BUCKNER BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-2006
Country	:	US
Telephone Number	:	214-328-3141
Fax Number	:

Provider Business Practice Location Address
First Line	:	5200 S BUCKNER BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-2006
Country	:	US
Telephone Number	:	214-328-3141
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JOANN COLE
Credential	:
Telephone Number	:	214-321-4512

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	08/22/2020

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