Bustos, Peter

Bustos, Peter is an sole proprietor health care provider with primary practice located at 804 E Pauline St Suite B, Conroe TX 77301-2465. He recently has only one registered license in Transportation Services / Land Transport, which is considered as his primary health care specialty. Bustos, Peter can be contacted via phone (281) 743-2386.

Contact Information

Primary practice address
804 E Pauline St Suite B Conroe TX 77301-2465
Fax: (281) 354-1300
Website:

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 187002 Texas

Profile Details

NPI number 1700810173
LBN Legal business name Bustos, Peter
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jan 25th, 2016 - about 8 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 1700810173 NPPES
Texas MEDICAID 175938301

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