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Mario Bustamante Md Pa
Specialist in San Antonio, Texas
NPI 1477757334

Mario Bustamante Md Pa is a Specialist based in San Antonio, TX. Mario Bustamante Md Pa practices in San Antonio, TX. The NPI Number for Mario Bustamante Md Pa is 1477757334 and holds a License No. C14004 (Texas).

The current practice location address for Mario Bustamante Md Pa is 12770 Cimarron Path, San Antonio, TX and can be reached out via phone at 210-733-1802 and via fax at 210-733-1808.

Location: 12770 Cimarron Path, San Antonio, TX, 78249-3416
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477757334
Provider Name
Mario Bustamante Md Pa
Credential
Provider Entity Type
Organization
Address
12770 Cimarron Path, San Antonio, TX, 78249-3416
Phone Number
210-733-1802
Fax Number
210-733-1808
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
168353401 05 TX
0076MN 01 TX BLUE CROSS GROUP
institution
Provider Business Practice Location Address Details
Address
12770 Cimarron Path
City
San Antonio
State
Texas
Zip
78249-3416
Phone Number
210-733-1802
Fax Number
210-733-1808
person
Provider Business Mailing Address Details
Address
12770 Cimarron Path
City
San Antonio
State
Texas
Zip
78249-3416
Phone Number
210-733-1802
Fax Number
210-733-1808
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
C14004 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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