Organization
TEXAS PEDIATRIC PULMONARY CONSULTANTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA S. BUSTILLO MD (PRESIDENT)
(972) 562-1188
Entity
Organization
Contact information
Practice address
2251 W ELDORADO PKWY, SUITE 100, MCKINNEY, TX 75070-4358
(972) 562-1188
Mailing address
2251 W ELDORADO PKWY, SUITE 100, MCKINNEY, TX 75070-4358
(972) 562-1188
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
L6308
TX
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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