Organization
FUSTOK & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE SOLANJI (AUTHORIZED REPRESENTATIVE)
(713) 212-0135
Entity
Organization
Contact information
Practice address
6 FARNHAM PARK DR, HOUSTON, TX 77024-7501
(713) 212-0135
Mailing address
6 FARNHAM PARK DR, HOUSTON, TX 77024-7501
(713) 212-0135
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
F4727
TX
Other
Enumeration date
04/28/2010
Last updated
04/28/2010
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