Organization Active NPI

Buffalo Vista Urgent Family Care, PLLC

  • Urgent Care Clinic/Center
  • Buffalo, TX
National Provider Identifier
1639464324
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
L7424 Issued in TX
Legal business name
BUFFALO VISTA URGENT FAMILY CARE, PLLC
Practice address
1045 E Railroad
Buffalo, TX 75831
Phone
(903) 322-9309
Fax
(903) 322-9066
NPI assigned
Jun 10, 2011
Last updated
Sep 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Dr. Roland David Iboni, D.O
Title
President
Phone
(214) 454-2466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X L7424 TX Primary

Addresses

Primary practice location

1045 E Railroad
Buffalo, TX 75831

Mailing address

2033 W McDermott Dr Ste 320-215
Allen, TX 75013-4694
Phone (903) 322-9309

National Provider Directory

National Provider Directory

Locations

2033 W McDermott Dr
Ste 320215
Allen, TX 75013

1045 E Railroad St
Buffalo, TX 75831
Phone (903) 322-9309

NPI Registry JSON

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1639464324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 W MCDERMOTT DR STE 320-215",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134694",
            "telephone_number": "903-322-9309",
            "fax_number": "903-322-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E RAILROAD",
            "city": "BUFFALO",
            "state": "TX",
            "postal_code": "75831",
            "telephone_number": "903-322-9309",
            "fax_number": "903-322-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO VISTA URGENT FAMILY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-10",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "IBONI",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-454-2466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "L7424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.