Organization
TEXAS PEDIATRIC PULMONARY CONSULTANTS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYRA S. BUSTILLO MD (DIRECTOR)
(903) 416-3500
Entity
Organization
Contact information
Practice address
140 W LAMBERTH RD, SUITE C, SHERMAN, TX 75092-2667
(903) 416-3500
Mailing address
2251 W ELDORADO PKWY, SUITE 100, MCKINNEY, TX 75070-4358
(972) 562-1188
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
—
—
Other
Enumeration date
02/15/2008
Last updated
02/18/2008
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