FUSTOK COSMETIC AND RECONSTRUCTIVE SURGERY PA NPI 1720569817

NPI Information

NPI: 1720569817
Provider Name: FUSTOK COSMETIC AND RECONSTRUCTIVE SURGERY PA
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
6750 WEST LOOP S STE 830
BELLAIRE, TX
ZIP 77401
Phone: (713) 621-2950
Get Directions

FUSTOK COSMETIC AND RECONSTRUCTIVE SURGERY PA is a plastic and reconstructive surgery surgery in Bellaire, TX. The provider is a surgeon who specializes in plastic and reconstructive surgery. FUSTOK COSMETIC AND RECONSTRUCTIVE SURGERY PA NPI is 1720569817. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6750 WEST LOOP S STE 830
BELLAIRE, TX
ZIP 77401
Phone: (713) 621-2950
Fax: (713) 621-2139

The provider's authorized official is Epifania C Alvarado .
The authorized official title is Medical Billing Manager and has the following contact phone number (713) 621-2950.

The enumeration date for this NPI number is 8/27/2018 and was last updated on 10/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	F4727	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F4727	OTHER	TEXAS	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »