Individual
MR. ADAM THOMAS PUSTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACAGNP
Contact information
Practice address
506 E SAN ANTONIO ST, VICTORIA, TX 77901-6060
(361) 788-6500
Mailing address
458 HONEYCOMB, VICTORIA, TX 77904-2176
(361) 652-0763
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1098766
TX
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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