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Individual

DOLORES BUSCEMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3601 4TH ST, LUBBOCK, TX 79430-9410
(806) 743-3150
(806) 743-3148
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787

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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