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Contact Information

PEDRO M BUSTAMANTE IV, MD
1415 CALIFORNIA ST
HOUSTON, TX77006
 Phone: 832-548-5000
 Fax: 713-523-4897
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PEDRO M BUSTAMANTE IV · (Male)

NPI # 1164686150
Status Active
Credentials MD
Entity Individual
Enumeration date 07/18/2008
Last updated 08/20/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TX License # P1279
  • TX Medicaid 080462703
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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