Individual
LISA MARIE BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
500 W MEDICAL CENTER BLVD, WEBSTER, TX 77598-4220
(281) 332-2511
Mailing address
PO BOX 58538, WEBSTER, TX 77598-8538
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1216061
TX
Other
Enumeration date
10/31/2025
Last updated
02/03/2026
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