Organization
GERALD BUSCH M.D.P.A.
Active
Other names
PACE Mental Health Houston
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD I BUSCH M.D. (PRESIDENT)
(713) 665-9000
Entity
Organization
Contact information
Practice address
6550 MAPLERIDGE ST STE 210, HOUSTON, TX 77081-4647
(866) 971-8423
Mailing address
6900 S RICE AVE, BELLAIRE, TX 77401-4439
(281) 661-6904
(713) 665-9100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
2084F0202X
Forensic Psychiatry Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10008925
AMERIGROUP
TX
05
—
1316226-01
—
TX
01
—
F67V
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/31/2007
Last updated
09/13/2018
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