MEDICARE: FERNANDO BUESO

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	174400000X	Specialist	E8363	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437108966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERNANDO BUESO

Provider Business Mailing Address
First Line	:	7777 SOUTHWEST FWY STE 940
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1813
Country	:	US
Telephone Number	:	713-757-1075
Fax Number	:	713-652-3918

Provider Business Practice Location Address
First Line	:	7777 SOUTHWEST FWY STE 940
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1813
Country	:	US
Telephone Number	:	713-757-1075
Fax Number	:	713-652-3918

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

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	02/10/2025

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Directions to “ FERNANDO BUESO ” Practice Location

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