Individual
ANGELA TATAVAK HUSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6565 WEST LOOP S STE 800, BELLAIRE, TX 77401-3505
(713) 661-4383
(713) 661-4346
Mailing address
6565 WEST LOOP S STE 800, BELLAIRE, TX 77401-3505
(713) 661-4383
(713) 661-4346
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12361
TX
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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