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

Mr. Lace Thomas Busby III

Individual provider Family Nurse Practitioner · NPI 1720685993

Mr. Lace Thomas Busby III is a Nurse Practitioner in San Antonio, Texas. Qualified in 2020, 6 years ago. Practices with Methodist Carenow Urgent Care PLLC, a 70-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

1434 E Sonterra Blvd Ste 206
San Antonio, TX 78258-4973
Phone: (210) 402-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1002899 (TX)

Record details

NPI number1720685993
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 1, 2020
Last updated in NPPESOctober 1, 2020
Certification dateSeptember 19, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Methodist Carenow Urgent Care Pllc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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