Provider Demographics
NPI:1003206699
Name:TODD D. BUCHANAN, M.D., P.A.
Entity Type:Organization
Organization Name:TODD D. BUCHANAN, M.D., P.A.
Other - Org Name:DRIPPING SPRINGS FAMILY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:D
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-858-4166
Mailing Address - Street 1:PO BOX 1183
Mailing Address - Street 2:104 MERCER
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-1183
Mailing Address - Country:US
Mailing Address - Phone:512-858-4166
Mailing Address - Fax:512-858-4196
Practice Address - Street 1:104 W MERCER ST
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-5248
Practice Address - Country:US
Practice Address - Phone:512-858-4166
Practice Address - Fax:512-858-4196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX235901363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty