Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON PATRICK BUCK, D.O.
Active Sole ProprietorSHANNON PATRICK BUCK, D.O. is a Dermatology healthcare provider located in JBSA LACKLAND, Texas. NPI 1578895744 is currently active in the NPPES registry. Verify at CMS.
Dermatology · JBSA LACKLAND, TX
Registration Details
- NPI Number
- 1578895744
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2010 (16.510399633136 yrs)
- Last Updated
- Oct 11, 2024
- Licenses
-
S0144 (TX)S0144 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 WILFORD HALL LOOP BLDG 4554JBSA LACKLAND, TX, 78236Browse TX providers · Browse ZIP 78236
- Phone
- 2102928200
- Fax
- 2102923781
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
Other Dermatology Providers in JBSA LACKLAND, TX
| Name | Credential | NPI |
|---|---|---|
| DR. MARIE J HAN | MD | 1891773198 |
| DR. WENDI WOHLTMANN | M.D. | 1548230402 |
| DR. CHRISTOPHER M EDENS | M.D. | 1437311891 |
| DR. AMANDA J TRUMP | M.D. | 1154760346 |
| HEIDI DEARBORN | DO | 1003317744 |
| MR. JARROD PAUL ODOM | MD | 1851927560 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.