Individual
GABRIEL BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75390-3411
(214) 645-6757
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
U4160
TX
Other
Enumeration date
05/02/2020
Last updated
10/24/2023
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