Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mario Bustamante MD PA

Organization Specialist · NPI 1477757334

Mario Bustamante MD PA is a Specialist in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12770 Cimarron Path Ste 132
San Antonio, TX 78249-3416
Phone: (210) 733-1802
Fax: (210) 733-1808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence C14004 (TX)

Record details

NPI number1477757334
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leticia Cantu — Billing Manager · (210) 733-1802
NPI enumeratedJune 13, 2007
Last updated in NPPESJanuary 5, 2016
Mailing address12770 Cimarron Path, Suite 132, San Antonio, TX 78249-3416

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