PETER M BUFFA SR PA
Marriage and Family Therapists at Bonham St, Fallon, TX

License number
Texas N4315
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. PETER MICHAEL BUFFA SR. M.D.
Title: OWNER
Phone: (254) 739-5744
Address
Address
600 S Bonham St, Fallon, TX 76667
National Provider ID: 1427378926
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETER M. BUFFA, SR., PA

Fife, TX  -  Fallon, TX

Status:
Inactive
Registration:
Feb 23, 2010
Addresses:
PO Box 1302, Brady, TX 76825 (Mailing)
400 N Mckinney St, Fallon, TX 76667
State ID:
0801235134
Business type:
Professional Association
Director , Member:
Peter M. Buffa Director , Member, inactive
Agent:
Richard L Sadler,400 N Mckinney St, Mexia, TX 76667 (Physical)
TIN:
32041288385

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