Individual
EFRAIN BUENTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1047 N REYNOLDS ST, ALICE, TX 78332-3421
(361) 664-0322
Mailing address
1047 N REYNOLDS ST, ALICE, TX 78332-3421
(361) 664-0322
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
163WR0006X
TX
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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