Individual
MR. PABLO ERNESTO BUSTAMANTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2029 ANISE DR, EL PASO, TX 79935-2619
(915) 591-2017
Mailing address
2029 ANISE DR, EL PASO, TX 79935-2619
(915) 591-2017
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
TX
Other
Enumeration date
05/10/2007
Last updated
05/14/2019
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