GUSTAVO BUENTELLO, MD FAAP PA
Medical Practice at 6 St, Weslaco, TX

License number
Texas E1821
Category
Medical Practice
Type
Pediatrics
Owner
Name: DR. GUSTAVO BUENTELLO M.D.
Title: PRESIDENT
Phone: (956) 968-9571
Address
Address
1220 E 6Th St, Weslaco, TX 78596
National Provider ID: 1205041464
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GUSTAVO BUENTELLO, M.D. F.A.A.P.,, PA

Weslaco, TX

Registration:
Feb 17, 2000
Addresses:
PO Box 8067, Weslaco, TX 78599 (Mailing)
1217 S Westgate Dr, Weslaco, TX 78596
State ID:
0082098803
Business type:
Professional Association
President , Director , Member , Secretary, Treasurer:
Gustavo Buentello (President , Director , Member , Secretary, Treasurer)
TIN:
32035995300

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