Buentello, Gustavo

Buentello, Gustavo is an sole proprietor health care provider with primary practice located at 801 E Nolana Ave Ste 17, Mcallen TX 78504-6104. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Buentello, Gustavo can be contacted via phone (956) 630-1616.

Contact Information

Primary practice address
801 E Nolana Ave Ste 17 Mcallen TX 78504-6104
Fax: (956) 630-4733
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E1821 Texas
Allopathic & Osteopathic Physicians / General Practice 208D00000X E1821 Texas

Profile Details

NPI number 1508951682
LBN Legal business name Buentello, Gustavo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Aug 28th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508951682 NPPES
Other 115280 CHIP
MEDICAID 133209009 CHIP
Other 1332090-01 CHIP
Other 8B4610 CHIP

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