Ludie Hernandez-Buck Mdpa

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

F7780 Issued in TX

Legal business name

LUDIE HERNANDEZ-BUCK MDPA

Practice address

4201 Garth Rd
Suite 119
Baytown, TX 77521-3167

Phone

(281) 422-4792

Fax

(281) 422-6099

NPI assigned

Nov 23, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ludie Hernandez-Buck, MD

Title

Owner

Phone

(281) 422-4792

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1225366727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD",
            "address_2": "SUITE 119",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213167",
            "telephone_number": "281-422-4792",
            "fax_number": "281-422-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 GARTH RD",
            "address_2": "SUITE 119",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213167",
            "telephone_number": "281-422-4792",
            "fax_number": "281-422-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDIE HERNANDEZ-BUCK MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ-BUCK",
        "authorized_official_first_name": "LUDIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-422-4792",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F7780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1239659-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shelby Babu Lukose, DDS
• China Lurch
• Stacie Lynnette Lutz, APRN, WHNP-BC
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• Gastroenterology Physician in Baytown, TX
• Providers in Baytown, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.