Individual
PETER BUSTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 E PAULINE ST, SUITE B, CONROE, TX 77301-2465
(281) 743-2386
(281) 354-1300
Mailing address
22796 COLORADO DR, PORTER, TX 77365-4689
(281) 743-2386
(281) 354-1300
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
187002
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175938301
—
TX
Enumeration date
07/10/2006
Last updated
12/17/2024
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