Individual
DAVID BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13100 NORTHWEST FWY, SUITE 360, HOUSTON, TX 77040-6310
(713) 877-8447
Mailing address
11655 BRIAR FOREST DR, HOUSTON, TX 77077-5023
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2017836
TX
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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