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
Phone: (956) 630-1616
Fax: (956) 630-4733
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508951682 | NPPES |
Other | 115280 | CHIP | |
MEDICAID | 133209009 | CHIP | |
Other | 1332090-01 | CHIP | |
Other | 8B4610 | CHIP |
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