Individual
JOE R BUSTOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 MCDOUGAL AVE, SAN ANTONIO, TX 78223-1422
(210) 204-6451
Mailing address
234 MCDOUGAL AVE, SAN ANTONIO, TX 78223-1422
(210) 204-6451
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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