Mallory Marie Bustos
Counselor - Professional • San Antonio, TX
This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.
Professional Overview & Biography Verified Profile Summary
Mallory Bustos is a registered Counselor - Professional practitioner in San Antonio, TX. With approximately 11 years of clinical practice since completing medical education in 2015, Mallory Bustos provides healthcare services at the registered practice location at 1226 STABLE GLEN DR.
Mallory Bustos does not directly accept Medicare assignment.
Practice Location & Contact Primary Location
1226 Stable Glen Dr
San Antonio, TX 782452969
Medicare Profile & Education
Other
2015
Not Specified
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in San Antonio, TX
Practicing in San Antonio, TX (21203 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Medical Specialties & State Licenses
CMS Verified: 2026-05-18NUCC Taxonomy Code: 101YP2500X
Definition to come...
NUCC Taxonomy Code: 101YM0800X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1226 STABLE GLEN DR, SAN ANTONIO, TX 782452969 (Tel: 2103179624)
Registered at 1226 STABLE GLEN DR, SAN ANTONIO, TX 782452969 (Tel: 2103179624)
Recorded as MALLORY BUSTOS
Counselor (License #92415 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1226 Stable Glen Dr
San Antonio, TX 782452969
Phone: 2103179624
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.