Provider Demographics
NPI:1073025565
Name:BUSCH, BARBARA LYNN (NP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:BUSCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:LYNN
Other - Last Name:DESROSIERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2112 IRONSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-3010
Mailing Address - Country:US
Mailing Address - Phone:469-247-2270
Mailing Address - Fax:
Practice Address - Street 1:6360 W SAM HOUSTON PKWY N STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-5165
Practice Address - Country:US
Practice Address - Phone:469-814-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-24
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP135665363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily