| NPI | 1366517815 |
|---|---|
| Doing Business As | BUCKNER BACK & NECK CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARSHA RAE MILLER Representative 214-275-4124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: TX 5870) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-08-15 |