Individual
CHASITY CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BAYLOR PLZ # BCM320, HOUSTON, TX 77030-3411
(832) 824-1173
Mailing address
1234 VAN VOORHIS RD APT C7, MORGANTOWN, WV 26505-3467
(208) 440-3690
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
T3064
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
11/09/2024
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