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NPI Code Detail

MEDICARE: DR. GERARDO BUESO MD

MEDICARE: DR. GERARDO BUESO MD
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
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianF7711TX
2207R00000XInternal Medicine PhysicianF7711TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110184713OTHERTXRAIL ROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1578658001
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERARDO BUESO MD
Provider Business Mailing Address
First Line : 5711 ALMEDA RD
Second Line :
City : HOUSTON
State : TX
Zip : 77004-7303
Country : US
Telephone Number : 713-520-8385
Fax Number : 713-520-5029
Provider Business Practice Location Address
First Line : 5711 ALMEDA RD
Second Line :
City : HOUSTON
State : TX
Zip : 77004-7303
Country : US
Telephone Number : 713-520-8385
Fax Number : 713-520-5029
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 09/27/2022

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Directions to “ DR. GERARDO BUESO MD” Practice Location

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