Buckeye Diagnostic Services LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BUCKEYE DIAGNOSTIC SERVICES LLC

Practice address

5117 N McColl Rd
McAllen, TX 78504-2331

Phone

(956) 627-3131

Fax

(888) 505-9987

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Joshua Dean Shaver

Title

Office Manager

Phone

(281) 944-4704

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1720526031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 S 10TH ST",
            "address_2": "SUITE A #573",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015059",
            "telephone_number": "956-627-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117 N MCCOLL RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042331",
            "telephone_number": "956-627-3131",
            "fax_number": "888-505-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "SHAVER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-944-4704",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Lyn Brown, LPC
• Lydia Diane Brown, APRN
• Shanna Jean Brown, M.D.
• Charmaine F Browne, M.D.
• Kirk Douglas Bryan, RN
• Buena Vista Optical Inc
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• Gustavo Buentello, MD
• Lisa Buentello

• General Practice Physician in McAllen, TX
• Providers in McAllen, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.