Individual
MR. FERNANDO JOSE BUESO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.LSA
Contact information
Practice address
4655 WILD INDIGO ST APT 274, HOUSTON, TX 77027-7076
(713) 882-9849
Mailing address
PO BOX 111938, HOUSTON, TX 77293-0938
(713) 882-9849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
LSA-05-168
TX
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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