Individual
DR. EDWIN R BUSTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 W 38TH ST, D-4, AUSTIN, TX 78705
(512) 454-9627
(512) 454-6310
Mailing address
711 W 38TH ST, D-4, AUSTIN, TX 78705-1121
(512) 454-9627
(512) 454-6310
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
D0073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128062004
—
TX
01
—
D0073
TX LICENSE
—
Enumeration date
08/25/2006
Last updated
03/07/2023
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