Individual
SERGIO DAVID BUESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5426 CASA MARTIN DR, KATY, TX 77449-1637
(832) 291-7226
Mailing address
5426 CASA MARTIN DR, KATY, TX 77449-1637
(832) 291-7226
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
COMPANY
TX
Enumeration date
10/14/2022
Last updated
10/14/2022
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