Organization
HUMBERTO R. BRUSCHETTA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMBERTO R BRUSCHETTA MD, FACP (OWNER)
(361) 516-0097
Entity
Organization
Contact information
Practice address
2511 E CORRAL AVE, KINGSVILLE, TX 78363-4101
(361) 516-0097
(361) 516-0182
Mailing address
2511 EAST CORRAL AVE, KINGSVILLE, TX 78363-4101
(361) 516-0097
(361) 516-0182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9634
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079672401
—
TX
01
—
1760437438
NPI
TX
Enumeration date
09/26/2007
Last updated
01/06/2010
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