Individual
TIMOTHY BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
5 CALLE MEDICO STE A, SANTA FE, NM 87505-4762
(505) 557-6300
(505) 557-6302
Mailing address
7300 RANCH RD. 2222 BLDG 1, STE 200, AUSTIN, TX 78730-3255
(512) 628-0465
(512) 233-2711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2005-0055
NM
Other
Enumeration date
03/28/2006
Last updated
01/03/2025
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