Provider Demographics
NPI:1881295327
Name:BUCHMEIER, COURTNEY L (APRN-TXRN)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:L
Last Name:BUCHMEIER
Suffix:
Gender:F
Credentials:APRN-TXRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2507 CIELO TRCE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78261-2876
Mailing Address - Country:US
Mailing Address - Phone:210-897-9474
Mailing Address - Fax:
Practice Address - Street 1:16620 SAN PEDRO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-2327
Practice Address - Country:US
Practice Address - Phone:210-309-1405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-02
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1018578363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily