Provider Demographics
NPI:1912091471
Name:ENDOCRINE ASSOCIATES
Entity Type:Organization
Organization Name:ENDOCRINE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:BUESO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-520-8385
Mailing Address - Street 1:5711 ALMEDA RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7303
Mailing Address - Country:US
Mailing Address - Phone:713-520-8385
Mailing Address - Fax:713-520-5029
Practice Address - Street 1:5711 ALMEDA RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7303
Practice Address - Country:US
Practice Address - Phone:713-520-8385
Practice Address - Fax:713-520-5029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7711207R00000X, 207RE0101X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCK5529OtherRAIL ROAD MEDICARE
TX079710201Medicaid
TX00054NMedicare ID - Type Unspecified