Individual provider · Type 1 NPI
Tobin Jay Bushong, PA
Surgical Physician Assistant · Houston, TX
NPI number
1730164831
Active
Practice location
12835 Gulf Fwy
Houston, TX 77034-4807
Fax (713) 436-3860
Mailing address
7401 Main St
Houston, TX 77030-4509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA03483 (TX) |
Surgical Physician Assistant: Definition to come...
3 other providers at this address
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About NPI 1730164831
Tobin Jay Bushong, PA's National Provider Identifier is 1730164831, issued on Dec 12, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Houston, TX. The record was last updated on Apr 22, 2021.