Individual
MARIANNE VANDROMME CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MSPH
Contact information
Practice address
6550 FANNIN ST, SUITE 2307, HOUSTON, TX 77030-2717
(713) 486-4600
Mailing address
6550 FANNIN ST, SUITE 2307, HOUSTON, TX 77030-2717
(713) 486-4600
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
Q0622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338173302
—
TX
Enumeration date
05/10/2007
Last updated
10/05/2023
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