Individual
BUSARI BUSBRIDGE IYERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7845 WINDCHASE DR, BEAUMONT, TX 77713-8201
(409) 749-0977
Mailing address
7845 WINDCHASE DR, BEAUMONT, TX 77713-8201
(409) 749-0977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1110658
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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