| NPI | 1710851589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD G BUCH Md/Owner 469-443-0925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2025-10-03 |
| Last Update Date | 2025-10-03 |