Individual
MR. GERARDO BUSTAMANTE YU JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
(210) 443-0198
Mailing address
18922 LLANO LEDGE, SAN ANTONIO, TX 78256-1911
(203) 434-8072
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
890827
TX
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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