# GUSTAVO BUENTELLO MD F. A. A. P., PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BUENTELLO MEDICAL AND WELLNESS CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497089031
- **Authorized official:** LUIS BUENTELLO DC (ADMINISTRATOR)
- **Authorized official phone:** (956) 630-1616

## Contact information

- **Practice address:** 801 E NOLANA AVE, SUITE 17, MCALLEN, TX 78504-6104
- **Practice address phone:** (956) 630-1616
- **Practice address fax:** (956) 630-4733
- **Mailing address:** 801 E NOLANA AVE, SUITE 17, MCALLEN, TX 78504-6104
- **Mailing address phone:** (956) 630-1616
- **Mailing address fax:** (956) 630-4733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | E1821 | TX | Yes |

## Other

- **Enumeration date:** 09/30/2009
- **Last updated:** 11/12/2009