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NPI Code Detail

MEDICARE: BUSCH MEDICAL GROUP PLLC

MEDICARE: BUSCH MEDICAL GROUP PLLC
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
1207QA0000XAdolescent Medicine (Family Medicine) Physician
2207QA0505XAdult Medicine Physician
3207QG0300XGeriatric Medicine (Family Medicine) Physician
4207QS0010XSports Medicine (Family Medicine) Physician
5207QS1201XSleep Medicine (Family Medicine) Physician
6225700000XMassage Therapist
7207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1083485197
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUSCH MEDICAL GROUP PLLC
Provider Business Mailing Address
First Line : PO BOX 691989
Second Line :
City : HOUSTON
State : TX
Zip : 77269-1989
Country : US
Telephone Number : 832-599-8081
Fax Number :
Provider Business Practice Location Address
First Line : 6640 CYPRESSWOOD DR STE 200
Second Line :
City : SPRING
State : TX
Zip : 77379-7738
Country : US
Telephone Number : 832-599-8081
Fax Number : 832-327-7868
Authorized Official
Title or Position : CEO AND MANAGING DIRECTOR
Name : DR. JOYCE MARIE JACKSON
Credential : MD
Telephone Number : 832-599-8081
Provider Enumeration Date : 01/09/2024
Last Update Date : 08/08/2025

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Directions to “BUSCH MEDICAL GROUP PLLC ” Practice Location

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