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1477757334
MARIO BUSTAMANTE MD PA
SAN ANTONIO, TX
NPI
1477757334
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Entity Type
Organization
Authorized Contact
LETICIA A CANTU
Billing Manager
210-733-1802
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: TX C14004)
Enumeration Date
2007-06-13
Last Update Date
2016-01-05
Business Address
MARIO BUSTAMANTE MD PA
12770 CIMARRON PATH SUITE 132
SAN ANTONIO, TX 78249-3416
Phone number: 210-733-1802
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Mailing Address
MARIO BUSTAMANTE MD PA
12770 CIMARRON PATH SUITE 132
SAN ANTONIO, TX 78249-3416
Phone number: 210-733-1802
Copy
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