Organization · Type 2 NPI
Fustok Cosmetic and Reconstructive Surgery PA
Plastic and Reconstructive Surgery Physician · Houston, TX
NPI number
1720569817
Active
Practice location
333 West Loop N Ste 410
Houston, TX 77024-7709
Fax (713) 589-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | F4727 (TX) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1720569817
Fustok Cosmetic and Reconstructive Surgery PA's National Provider Identifier is 1720569817, issued on Aug 27, 2018. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Houston, TX. The record was last updated on Dec 6, 2024.