Individual ProviderPamela BustamantePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address6611 Boeing Dr, El Paso, TX 79925-1010(915) 789-6576PECOS EnrollmentBased on the most recent information from CMS, provider Pamela Bustamante does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:02 AM.Profile DetailsProvider ID1972681013Provider TypeIndividualFull NameBustamante, PamelaCredentialP.TGenderFemaleSole ProprietorNoEnumeration Date11/2/2006Last Updated7/9/2007Contact InformationPractice LocationPractice Address6611 Boeing Dr, El Paso, TX 79925-1010Phone(915) 789-6576FaxUnlisted FaxMailing LocationMailing Address6611 Boeing Dr, El Paso, TX 79925-1010Phone(915) 789-6576FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense1052330Texas