Organization
MARIO O. KAPUSTA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO OSVALDO KAPUSTA M.D. (PRESIDENT)
(713) 349-8346
Entity
Organization
Contact information
Practice address
5585 WESLAYAN ST, HOUSTON, TX 77005-1941
(713) 349-8346
(713) 218-8346
Mailing address
PO BOX 6730, HOUSTON, TX 77265-6730
(713) 349-8346
(713) 218-8346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F0537
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82460J
BCBS GROUP
TX
05
—
Z000119K7
—
TX
Enumeration date
12/31/2007
Last updated
12/31/2007
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