Provider Demographics
NPI:1720337843
Name:W. COOPER BUSCHEMEYER III, MD PA
Entity type:Organization
Organization Name:W. COOPER BUSCHEMEYER III, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:COOPER
Authorized Official - Last Name:BUSCHEMEYER
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:346-646-3500
Mailing Address - Street 1:303 LONGMIRE RD UNIT 102
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2176
Mailing Address - Country:US
Mailing Address - Phone:346-646-3500
Mailing Address - Fax:346-646-7799
Practice Address - Street 1:303 LONGMIRE RD UNIT 102
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2176
Practice Address - Country:US
Practice Address - Phone:346-646-3500
Practice Address - Fax:346-646-7799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-05
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty