Diana S Bustelo in Austin - Pediatrics

Diana S Bustelo - NPI 1396755104

Diana S Bustelo is a Pediatrics in Austin, Texas. Diana S Bustelo practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Diana S Bustelo is 1396755104. The last update date is 2007-07-08.

Diana S Bustelo's current location address is 12304 Boneta Cove, Austin, Texas. You can contact this provider via phone number 5129180346 and fax number 5129180346. The mailing address for Diana S Bustelo is 12304 Boneta Cove, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Diana S Bustelo
Address 12304 Boneta Cove, Austin, Texas
Phone Number 5129180346
Fax Number 5129180346
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1396755104
Provider Enumeration Date 2006-08-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12304 Boneta Cove
City Austin
State Texas (TX)
Post Code 78729
Phone Number 5129180346
Fax Number 5129180346

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 1144830
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

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FAQs about Diana S Bustelo

What is the unique 10-digit identification code assigned to Diana S Bustelo by the Centers for Medicare & Medicaid Services?

The Diana S Bustelo has been issued the NPI (National Provider Identifier) 1396755104, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Diana S Bustelo's facilities are geographically located?

The facilities of Diana S Bustelo are physically situated at the following location: 12304 Boneta Cove, Austin, TX, 78729.

What is Diana S Bustelo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Diana S Bustelo is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 2251P0200X.

When did Diana S Bustelo receive its 1396755104 assignment?

The Diana S Bustelo was assigned its 1396755104 on 2006-08-08, which is the date when this unique identifier was issued to the organization.

When was the information regarding Diana S Bustelo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Diana S Bustelo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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