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NPI Code Detail

MEDICARE: MR. DAVID HENRY DEBUSMAN L.P.C.

MEDICARE: MR. DAVID HENRY DEBUSMAN L.P.C.
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
1101YP2500XProfessional Counselor64384TX

General Provider Information

NPI Number : 1336253145
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID HENRY DEBUSMAN L.P.C.
Provider Business Mailing Address
First Line : 2391 NE LOOP 410
Second Line : SUITE 120
City : SAN ANTONIO
State : TX
Zip : 78217-5675
Country : US
Telephone Number : 210-222-0152
Fax Number : 210-222-1392
Provider Business Practice Location Address
First Line : 2391 NE LOOP 410
Second Line : SUITE 120
City : SAN ANTONIO
State : TX
Zip : 78217-5675
Country : US
Telephone Number : 210-222-0152
Fax Number : 210-222-1392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2006
Last Update Date : 04/15/2009

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