Individual
PAUL S BUSHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4315 JAMES CASEY ST STE 200, AUSTIN, TX 78745-3364
(512) 383-9752
(512) 406-7360
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G3202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117307202
—
TX
05
—
117307204
—
TX
05
—
117307205
—
TX
Enumeration date
07/29/2006
Last updated
10/23/2018
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