Individual
DOLORES BUSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5225 N LAMAR BLVD, AUSTIN, TX 78751-1820
(512) 804-3691
(512) 483-5820
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 804-3691
(512) 483-5820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
770380
TX
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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