Organization
PBP SURGICAL ASSIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN BUSTOS M.D. (PRESIDENT)
(713) 464-0077
Entity
Organization
Contact information
Practice address
12335 KINGSRIDE LN STE 275, HOUSTON, TX 77024-4116
(713) 464-0077
(713) 464-9582
Mailing address
12335 KINGSRIDE LN STE 275, HOUSTON, TX 77024-4116
(713) 464-0077
(713) 464-9582
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/15/2014
Last updated
02/15/2014
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