Search › Texas › 363A00000X
Jason Buckaloo, PA
NPI 1164016663 · on the registry since 2021 · sole proprietor
Practice
- Address
- 700 Olympic Plaza Cir Ste 600
Tyler, TX 75701 - Phone
- (903) 596-3844
- Organisation at this address
- Urology Tyler, Pa
Stasha Gominak, Md, Pa
Neuro Ir Of East Texas
Yvonne Baum M.D., P.A.
Tyler Kidney Doctors PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 89
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas