Individual
MICHAEL C CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22751 PROFESSIONAL DR STE 240, KINGWOOD, TX 77339-6028
(713) 799-2300
(281) 501-5900
Mailing address
7401 MAIN ST, HOUSTON, TX 77030-4509
(713) 799-2300
(281) 501-5900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Q1808
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
Q1808
TX
Other
Enumeration date
04/09/2008
Last updated
03/31/2022
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