PETER BUSTOS NPI 1700810173

NPI Information

NPI: 1700810173
Provider Name: PETER BUSTOS
Classification: Ambulance - 3416L0300X
Entity Type: Individual

Specialization: Land Transport

Address:
804 E PAULINE ST
SUITE B
CONROE, TX
ZIP 77301
Phone: (281) 743-2386
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Peter Bustos is a land transport ambulance in Conroe, TX. Peter Bustos NPI is 1700810173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

804 E PAULINE ST
SUITE B
CONROE, TX
ZIP 77301-465
Phone: (281) 743-2386
Fax: (281) 354-1300

The enumeration date for this NPI number is 7/10/2006 and was last updated on 1/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	187002	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	175938301	MEDICAID	TEXAS
2	AMB399	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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