Individual
KIM D GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
18300 KATY FWY, SUITE 315, HOUSTON, TX 77094-1385
(713) 464-2100
(281) 392-7911
Mailing address
18300 KATY FWY, SUITE 315, HOUSTON, TX 77094-1385
(713) 464-2100
(281) 392-7911
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
620019
TX
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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