SearchTexas363LF0000X

Lace Busby

NPI 1720685993 · on the registry since 2020

Practice

Address
1434 E Sonterra Blvd Ste 206
San Antonio, TX 78258
Phone
(210) 402-3456
Clinicians at this address
11

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas