Individual
MR. TOBIN JAY BUSHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12835 GULF FWY, HOUSTON, TX 77034-4807
(713) 436-3488
(713) 436-3860
Mailing address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 436-3488
(713) 436-3860
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA03483
TX
Other
Enumeration date
12/12/2005
Last updated
04/22/2021
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