Organization · Type 2 NPI

Mario Bustamante MD PA

Specialist · San Antonio, TX

NPI number 1477757334 Active

Practice location

12770 Cimarron Path, Suite 132
San Antonio, TX 78249-3416

Call (210) 733-1802 Map

Fax (210) 733-1808

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XC14004 (TX)

Specialist: 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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About NPI 1477757334

Mario Bustamante MD PA's National Provider Identifier is 1477757334, issued on Jun 13, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Antonio, TX. The record was last updated on Jan 5, 2016.