Miguel Bustamante in San Antonio - Clinical
Miguel Bustamante - NPI 1639270929
Miguel Bustamante is a Clinical in San Antonio, Texas. Miguel Bustamante practices all healthcare services and medical treatments related to Clinical. The NPI Number for Miguel Bustamante is 1639270929. The last update date is 2011-06-09.
Miguel Bustamante's current location address is 3750 Commercial Ave, San Antonio, Texas. You can contact this provider via phone number 2103343780 and fax number 2103343786. The mailing address for Miguel Bustamante is 3750 Commercial Ave, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miguel Bustamante |
|---|---|
| Address | 3750 Commercial Ave, San Antonio, Texas |
| Phone Number | 2103343780 |
| Fax Number | 2103343786 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1639270929 |
|---|---|
| Provider Enumeration Date | 2006-09-26 |
| Last Updated Date | 2011-06-09 |
Provider Mailing Address Detail
| Address | 3750 Commercial Ave |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782213117 |
| Phone Number | 2103343780 |
| Fax Number | 2103343786 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 5773 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80419W | TX | BCBS | |
| 37137901 | TX | -- |
Post Comment/ Review Below
What is the Miguel Bustamante's unique identification number?
The Miguel Bustamante has been assigned the NPI (National Provider Identifier) Number 1639270929 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Miguel Bustamante?
The Miguel Bustamante is physically situated at 3750 Commercial Ave, in the city of San Antonio, state of TX, with the postal code 782213117.
What is Miguel Bustamante's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Miguel Bustamante is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did Miguel Bustamante receive its 1639270929 assignment from the Centers for Medicare & Medicaid Services?
The Miguel Bustamante was assigned its 1639270929 on 2006-09-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Miguel Bustamante last refreshed?
The information related to the Miguel Bustamante, including its address, specialty, and other relevant details, was last updated on 2011-06-09.