Individual provider · Type 1 NPI
Lace Thomas Busby Iii
Family Nurse Practitioner · San Antonio, TX
NPI number
1720685993
Active
Practice location
1434 E Sonterra Blvd Ste 206
San Antonio, TX 78258-4973
Mailing address
20523 Creek Riv
San Antonio, TX 78259-2083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1002899 (TX) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1720685993
Lace Thomas Busby Iii's National Provider Identifier is 1720685993, issued on Oct 1, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 1, 2020.