Humberto R. Bruschetta, M.d., P.a. | |
2511 E Corral Ave Kingsville TX 78363-4101 | |
(361) 516-0097 | |
(361) 516-0182 |
Full Name | Humberto R. Bruschetta, M.d., P.a. |
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Speciality | Internal Medicine |
Location | 2511 E Corral Ave, Kingsville, Texas |
Authorized Official Name and Position | Humberto R Bruschetta (OWNER) |
Authorized Official Contact | 3615160097 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Humberto R. Bruschetta, M.d., P.a. 2511 East Corral Ave Kingsville TX 78363-4101 Ph: (361) 516-0097 | Humberto R. Bruschetta, M.d., P.a. 2511 E Corral Ave Kingsville TX 78363-4101 Ph: (361) 516-0097 |
NPI Number | 1437346228 |
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Provider Enumeration Date | 09/26/2007 |
Last Update Date | 01/06/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437346228 | NPI | - | NPPES |
079672401 | Medicaid | TX | |
1760437438 | Other | TX | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 9634 (Texas) | Primary |
Coastal Bend Wellness Foundation Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 720 E Lee Ave, Kingsville, TX 78363 Phone: 361-290-7672 Fax: 877-928-8238 | |
Community Action Corporation Of South Texas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1210 N Retama St, Kingsville, TX 78363 Phone: 361-239-0600 Fax: 877-550-1895 | |
Paraclete Primary Care Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E Kleberg Ave, Kingsville, TX 78363 Phone: 361-221-9345 Fax: 361-221-9338 | |