Individual
DOLORES BUSCEMI
Active
Individual
DOLORES BUSCEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
J4016
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100204050A
—
OK
01
—
109605100
FIRSTCARE COMMERCIAL
TX
05
—
109605101
—
TX
05
—
131875003
—
TX
05
—
131875004
—
TX
01
—
80734Z
HMO BLUE
TX
01
—
86429
PRESBYTERIAN COMMERCIAL
NM
05
—
86429
—
NM
01
—
86E871
BLUE CROSS/BLUE SHIELD
TX
01
—
A070
TRIWEST
TX
05
—
W0205
—
NM
Enumeration date
10/12/2005
Last updated
01/14/2022
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