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Individual

HEIDI W BUSCEME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1807 W SLAUGHTER LANE # 490, AUSTIN, TX 78748-6208
(512) 282-8967
(512) 292-5135
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K4826
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
046614601
TX
05
046614602
TX
05
046614603
TX
05
046614604
TX
05
046614605
TX
05
137356001
AR
Enumeration date
07/21/2005
Last updated
12/07/2011
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