Individual
DR. CARMEN LAINE PUSTEJOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2200 POOL RD, 102, GRAPEVINE, TX 76051-4266
(817) 488-1637
(817) 488-2854
Mailing address
2200 POOL RD, 102, GRAPEVINE, TX 76051-4266
(817) 488-1637
(817) 488-2854
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80498
TX
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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