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Organization

GUSTAVO BUENTELLO, MD FAAP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUSTAVO BUENTELLO M.D. (PRESIDENT)
(956) 968-9571
Entity
Organization

Contact information

Practice address
1220 E 6TH ST, WESLACO, TX 78596-6420
(956) 968-9571
(956) 973-0978
Mailing address
1220 E 6TH ST, WESLACO, TX 78596-6420
(956) 968-9571
(956) 973-0978

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E1821
TX

Other

Enumeration date
05/11/2007
Last updated
08/22/2020
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