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Individual

DR. RICHARD LEE BUSTAMANTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DNP, APRN, AGACNP-BC

Contact information

Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(346) 384-4358
Mailing address
1302 WAUGH DR # 186, HOUSTON, TX 77019-3908
(956) 890-6902

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1142029
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1142029
TX

Other

Enumeration date
11/20/2023
Last updated
03/12/2025
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