Individual
MR. KAEL KUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
BP10050879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
583944
TEXAS MEDICAL BOARD PHYSICIAN IN TRAINING
TX
Enumeration date
05/02/2014
Last updated
12/11/2014
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