LACE THOMAS BUSBY

SAN ANTONIO, TX
NPI1720685993
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1002899)
Enumeration Date2020-10-01
Last Update Date2020-10-01
Business Address
Mr. LACE THOMAS BUSBY
1434 E SONTERRA BLVD STE 206
SAN ANTONIO, TX 78258-4973
Phone number: 210-402-3456
Mailing Address
Mr. LACE THOMAS BUSBY
20523 CREEK RIV
SAN ANTONIO, TX 78259-2083
Phone number: 270-627-0474
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