Hanzy F. Bustamante, MD
Internal Medicine in Cedar Park, TX. Individual provider (NPI-1).
NPI number1508828641
StatusActive
Last updated in NPPESApr 20, 2023
Details
- NPI
- 1508828641
- Entity type
- Individual (NPI-1)
- Name
- Hanzy F. Bustamante
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2006
- Certification date
- Apr 20, 2023
- Last updated
- Apr 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | M1551 | TX | Yes |
| 207R00000X | Internal Medicine | 22429 | NV | |
| 207R00000X | Internal Medicine | 13166411-1205 | UT | |
| 208M00000X | Hospitalist | M1551 | TX |
Practice location
1401 Medical PkwyBldg B., #220
Cedar Park, TX 78613-7763
Phone 512-324-4083 · Fax 512-419-9016
Mailing address
Po Box 26726Austin, TX 78755-0726
Phone 512-407-8686 · Fax 512-406-6216
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