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

Mario Bustamante MD PA

Organization Specialist · NPI 1477757334

Mario Bustamante MD PA provides Specialist services 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 Not confirmed with CMS for 10 years — call before visiting
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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