Provider Demographics
NPI:1720089899
Name:BUFORD, DON ALEX (MD)
Entity type:Individual
Prefix:DR
First Name:DON
Middle Name:ALEX
Last Name:BUFORD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1015 N CARROLL AVE STE 2000
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-6607
Mailing Address - Country:US
Mailing Address - Phone:214-385-4861
Mailing Address - Fax:888-818-0383
Practice Address - Street 1:1015 N CARROLL AVE STE 2000
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204-6607
Practice Address - Country:US
Practice Address - Phone:214-385-4861
Practice Address - Fax:888-818-0383
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXJ7439208VP0014X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8228MOMedicare PIN
TXG02246Medicare UPIN