| Anthony Bustos, CONTRACTS/CORRECTION | |
|
121 Townsgate, Clovis, NM 88101 | |
| (575) 742-2620 | |
| (575) 742-3182 |
| Full Name | Anthony Bustos |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 121 Townsgate, Clovis, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124351192 | NPI | - | NPPES |
| L7094 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Bustos, CONTRACTS/CORRECTION Po Box 28220, Santa Fe, NM 87592 Ph: (505) 471-5006 | Anthony Bustos, CONTRACTS/CORRECTION 121 Townsgate, Clovis, NM 88101 Ph: (575) 742-2620 |
Selina Lucero, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Janice Coffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Bennie Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 505-471-5006 Fax: 505-820-9220 | |
Dustin D Lawson, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Felisha Gumbrecht, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Adrianna P Wycuff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 W 21st St, Clovis, NM 88101 Phone: 575-769-2345 | |
Spurgeon D Weaver, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 |