Individual
ELIZABETH A BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 MATLOCK RD, MANSFIELD, TX 76063
(817) 347-8400
(817) 347-8495
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09877
TX
Other
Enumeration date
07/22/2015
Last updated
09/10/2018
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