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Contact Information

MAYRA S BUSTILLO, MD
1115 WEBER ST
FRANKLIN, LA70538-4124
 Phone: 337-828-2550
 Fax: 337-355-2335
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MAYRA S BUSTILLO · (Female)

NPI # 1740231430
Status Active
Credentials MD
Entity Individual
Enumeration date 05/15/2006
Last updated 06/17/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 12129R
  • TX License # L6308
  • LA Medicaid 1533467
  • TX Medicaid 081278601
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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