MARY BUCKLES (NPI# 1841652526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841652526 |
| Entity Type | Individual |
| Full Name | MARY BUCKLES |
| Credential | RDCS |
| Practice Address |
1940 Canyon Ridge St Fort Worth TX 76131-2214 |
| Practice Telephone | 8179890475 |
| Mailing Telephone | 8179890475 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
107395 | MI | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1940 CANYON RIDGE ST |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76131-2214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497390686 | Chigane Abraham | Nurse Practitioner | 8609 Glenburne Dr, Fort Worth, TX 76131 | 2019-11-12 |
| 1578056016 | Anna Spencer | Dentist | 608 E Bailey Boswell Rd Ste 100, Saginaw, TX 76131 | 2018-06-10 |
| 1396010096 | Samuel H. Davis Md Pa | Pediatrics | 604 E. Bailey Boswell, Suite 140, Saginaw, TX 76131 | 2012-03-13 |
| 1326358961 | Chad A. Curlee, D.o., P.a. | Family Medicine | 2720 Western Center Blvd, Suite 312, Fort Worth, TX 76131 | 2010-10-18 |
| 1184937302 | Hemanth Sahukar | Dentist | 7260 Blue Mound Rd Ste 148, Fort Worth, TX 76131 | 2010-07-16 |
| 1427207174 | Er Dental Pllc | Dentist | 2700 Western Center Blvd, Suite 128, Fort Worth, TX 76131 | 2008-09-17 |
| 1295956787 | Michael Robert Jarrard | Preventive Medicine | Bnsf Railway, 2500 Lou Menk Dr Aob-gl, Fort Worth, TX 76131 | 2007-05-01 |
| 1578692349 | Gail Ann Hollar | Dentist | 2700 Western Center Blvd., #128, Fort Worth, TX 76131 | 2007-03-05 |
| 1588869036 | Blue Mound Volunteer Fire Department | Emergency Medical Technician, Basic | 301 S Blue Mound Rd, Blue Mound, TX 76131-1030 | 2007-06-15 |
| 1114987294 | Ronald Richard Redden | Specialist/Technologist | 800 N Blue Mound Rd, Saginaw, TX 76131-1052 | 2006-03-24 |
| Find all providers in zip 76131 | ||||
| Taxonomy Code | 246XS1301X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Sonography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568085538 | Christina Danielle Barraco | Spec/Tech, Cardiovascular | 5723 Glenmere Ln, Spring, TX 77379-7845 | 2020-05-25 |
| 1265067276 | Charles Drew Smith | Spec/Tech, Cardiovascular | 914 Rscr 3345, Emory, TX 75440-4810 | 2020-03-10 |
| 1013547314 | Annali Goette | Spec/Tech, Cardiovascular | 305 Murray Farm Dr Apt 428, Fairview, TX 75069-6907 | 2020-01-25 |
| 1932751146 | Edis Hobson | Spec/Tech, Cardiovascular | 8323 Southwest Fwy Ste 470, Houston, TX 77074-1636 | 2019-07-09 |
| 1538625306 | Brian Lawson | Spec/Tech, Cardiovascular | 5508 Valley Oak Dr, El Paso, TX 79932-4404 | 2019-02-15 |
| 1811468077 | Nyquist Imaging,llc | Spec/Tech, Cardiovascular | 7248 Copper Trail Ave, El Paso, TX 79934-3415 | 2018-12-16 |
| 1477023448 | Keylesha Susso | Spec/Tech, Cardiovascular | 1705 Coit Rd Apt 1017, Plano, TX 75075-6146 | 2018-12-03 |
| 1922504455 | Beng Mooi Liew | Spec/Tech, Cardiovascular | 3401 Nova Trl, Plano, TX 75023-3608 | 2018-04-03 |
| 1215432034 | Tiffany Aneu | Spec/Tech, Cardiovascular | 5301 W Spring Creek Pkwy Apt 735, Plano, TX 75024-4905 | 2018-03-25 |
| 1427565860 | Lynette Gascoigne | Spec/Tech, Cardiovascular | 18833 Town Ridge Lane, Apt 1424, Webster, TX 77598-7759 | 2018-01-08 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76131 |
Please comment or provide details below to improve the information on MARY BUCKLES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.