Individual
DR. JULIA ANNE BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 567-0083
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
J3058
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050064830
RAILROAD
TX
05
—
123389201
—
TX
05
—
123389206
—
TX
05
—
123389207
—
TX
05
—
123389208
—
TX
01
—
83862K
BCBS
TX
Enumeration date
12/19/2005
Last updated
10/09/2014
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