Individual
KYLE ANDREW BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
11335 SSG SIMS ST, FORT BLISS, TX 79918
(915) 744-2273
Mailing address
1664 FORGAN WAY, EL PASO, TX 79911-3031
(703) 786-9519
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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