| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
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