Shila Bustos
Individual provider Active NPI Pediatrics Physician · Houston, TX
NPI 1821245085 · NPPES record last updated Aug 19, 2008
Key facts
- NPI
- 1821245085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- M6061 (TX)
- Practice address
- 11509 Veterans Memorial Dr Ste 600
Houston, TX 77067-2629 - Phone
- (281) 444-7726
- Fax
- (281) 444-9426
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6061 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hai K Nguyen MD PA | Past | Accepting new patients | |
| Gregory Peco PA - C | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | M6061 | TX | Yes |
Addresses
Primary practice location
11509 Veterans Memorial Dr Ste 600
Houston, TX 77067-2629
Mailing address
11509 Veterans Memorial Dr Ste 600
Houston, TX 77067-2629
Phone (281) 444-7726
Other providers in Houston, TX
- Carisa Wilson Bustillos-Givens
- Robert Alexander Busto
- Desiree Bustos
- Diana Bustos
- Juan C Bustos
- Corina Adela Busuioc
- Busybody Fitness & Rehab, PLLC
- Michelle O. Butaud
- Tracey Butay
- Amy Westwick Butcher
All providers in Houston, TX · Pediatrics Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.