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

Dr. Juan C Bustos, MD

Individual provider Orthopaedic Surgery Physician · NPI 1629035894

Dr. Juan C Bustos, MD is an Orthopedic Surgery in Houston, Texas. Graduated from Wayne State University School of Medicine in 2000, 26 years ago. Practices with Mark Provenzano MD PA, a 5-clinician group. Licensed in Texas.

Years since qualifying
26
Trained at
Wayne State University School of Medicine
Licensed in
TX
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

950 Campbell Rd
Houston, TX 77024
Phone: (713) 464-0077
Fax: (713) 464-9582
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence M3485 (TX)

Record details

NPI number1629035894
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2006
Last updated in NPPESApril 24, 2012
Mailing address950 Campbell Rd, Houston, TX 77024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Mark Provenzano Md Pa — 5 clinicians
Accepts Medicare assignment Not indicated

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