Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 6635 | OK |
N | 213EG0000X | General Practice | 6635 | OK |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 35860 | TX |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 35860 | TX |
N | 204E00000X | Oral & Maxillofacial Surgeon | 6635 | OK |
NPI | 1083029573 |
---|---|
Provider Name | Dr. Jacob David Buhler |
First Address | San Antonio, TX 78259-2467 |
Second Address | Fort Sam Houston, TX 78234-4504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2014 |
Last Update Date | 28/01/2020 |