Provider Demographics
NPI:1902854599
Name:BUEHLER, THOMAS L (DPM)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:L
Last Name:BUEHLER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 E WHEATLAND RD
Mailing Address - Street 2:SUITE#104
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-4918
Mailing Address - Country:US
Mailing Address - Phone:972-709-9099
Mailing Address - Fax:972-709-9141
Practice Address - Street 1:777 E WHEATLAND RD
Practice Address - Street 2:SUITE#104
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4918
Practice Address - Country:US
Practice Address - Phone:972-709-9099
Practice Address - Fax:972-709-9141
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX882213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0093PBOtherBLUE CROSS BLUE SHIELD
TX018721301Medicaid
TX8F21948Medicare PIN
TX018721301Medicaid
TXT12450Medicare UPIN