Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kolby Spence Buckner, PA-C

Individual provider Surgical Physician Assistant · NPI 1558745737

Kolby Spence Buckner, PA-C is a Physician Assistant in Houston, Texas. Qualified in 2015, 11 years ago. Practices with Joseph Koch MD PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6701 Fannin St
Houston, TX 77030-2608
Phone: (832) 824-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA10139 (TX)

Record details

NPI number1558745737
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 16, 2015
Last updated in NPPESNovember 20, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Joseph Koch Md Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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