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NPI Code Detail

MEDICARE: HEIDI W BUSCEME MD

MEDICARE:   HEIDI W BUSCEME  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
1208000000XPediatrics PhysicianK4826TX

Other Identifiers

General Provider Information

NPI Number : 1851391759
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI W BUSCEME MD
Provider Business Mailing Address
First Line : PO BOX 26726
Second Line :
City : AUSTIN
State : TX
Zip : 78755-0726
Country : US
Telephone Number : 512-407-8686
Fax Number : 512-406-6216
Provider Business Practice Location Address
First Line : 1807 W SLAUGHTER LANE # 490
Second Line :
City : AUSTIN
State : TX
Zip : 78748-6208
Country : US
Telephone Number : 512-282-8967
Fax Number : 512-292-5135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 12/07/2011

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Directions to “ HEIDI W BUSCEME MD” Practice Location

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