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Individual
DANIEL BUSTAMANTE
Active
Individual
DANIEL BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Q7658
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD2014-0816
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
Q7658
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2011
Last updated
11/05/2019
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