MRS. REBEKAH J BUSTAMANTE


Address: 346 Laurelwood Dr, San Antonio, TX 78213-4633
Phone: 2103716900

MRS. REBEKAH J BUSTAMANTE (NPI# 1104118934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104118934
Entity Type Individual
Full Name MRS. REBEKAH J BUSTAMANTE
Credential ARRT
Practice Address 346 Laurelwood Dr
San Antonio
TX 78213-4633
Practice Telephone 2103716900
Mailing Telephone 2103716900
Enumeration Date 2011-05-12
Last Update Date 2011-05-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471M1202X Radiologic Technologist
Specialization: Magnetic Resonance Imaging
TX Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 346 LAURELWOOD DR
City SAN ANTONIO
State TX
Zip Code 78213-4633

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Taxonomy Information

Taxonomy Code 2471M1202X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Magnetic Resonance Imaging

Taxonomy Definition

Definition to come...

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Competitor

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City SAN ANTONIO
Zip Code 78213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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