Provider Demographics
NPI:1154937373
Name:BUHAT, MIGUEL (FNP-C)
Entity type:Individual
Prefix:MR
First Name:MIGUEL
Middle Name:
Last Name:BUHAT
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 W TRENTON RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3432
Mailing Address - Country:US
Mailing Address - Phone:956-803-0180
Mailing Address - Fax:
Practice Address - Street 1:2605 W TRENTON RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3432
Practice Address - Country:US
Practice Address - Phone:956-803-0180
Practice Address - Fax:956-253-7463
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-22
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1014432363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner