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Individual

DR. HELEN JANE BUSSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1250 8TH AVE, SUITE 545, FORT WORTH, TX 76104-4124
(817) 912-8080
(817) 912-8089
Mailing address
1250 8TH AVE, SUITE 545, FORT WORTH, TX 76104-4124
(817) 912-8080
(817) 912-8089

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D9378
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00BP03
BCBS
TX
05
089524503
TX
01
P00785016
RAILROAD MEDICARE
TX
Enumeration date
08/09/2005
Last updated
10/05/2012
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