Individual
DANIEL ERIC BUSTILLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
(254) 202-5651
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1033451
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
74949
NM
Other
Enumeration date
04/20/2021
Last updated
10/13/2023
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