MEDICARE: ELIZABETH BUESING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1316787708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH BUESING

Provider Business Mailing Address
First Line	:	3925 OBSIDIAN CIR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76137-2054
Country	:	US
Telephone Number	:	817-980-4844
Fax Number	:

Provider Business Practice Location Address
First Line	:	2035 FORT WORTH HWY
Second Line	:
City	:	WEATHERFORD
State	:	TX
Zip	:	76086-4782
Country	:	US
Telephone Number	:	817-599-9271
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2024
Last Update Date	:	05/31/2024

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Directions to “ ELIZABETH BUESING ” Practice Location

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