Dr. Jerome Lloyd Buller
Gynecologist
3551 Roger Brooke Dr
Jbsa Ft Sam Houston
, Texas 78234-4504
Dr. Jerome Lloyd Buller
Gynecologist
3551 Roger Brooke Dr
Jbsa Ft Sam Houston
, Texas 78234-4504
(210) 539-2720
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Jerome Lloyd Buller
- 3551 Roger Brooke Dr
- Jbsa Ft Sam Houston, TX
- Zip : 78234-4504
- Phone : (210) 539-2720
Second Address
- Dr. Jerome Lloyd Buller
- 3551 Roger Brooke Dr
- Jbsa Ft Sam Houston, TX
- Zip : 78234-4504
- Phone : (210) 539-2720
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 11674R | LA |
National Provider Identifier
| NPI | 1134223704 |
|---|---|
| Provider Name | Dr. Jerome Lloyd Buller |
| First Address | Jbsa Ft Sam Houston, TX 78234-4504 |
| Second Address | Jbsa Ft Sam Houston, TX 78234-4504 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2006 |
| Last Update Date | 16/06/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G76821 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.