Individual
DR. TERRI BAILEY PUSTILNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 W MEDICAL CENTER BLVD, WEBSTER, TX 77598-4219
(281) 332-7505
(281) 332-7616
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
K3406
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041371802
—
TX
05
—
041371804
—
TX
05
—
041371806
—
TX
01
—
980000035
MEDICARE RAILROAD
TX
01
—
P00930575
RAILROAD MEDICARE
TX
Enumeration date
12/14/2005
Last updated
05/16/2018
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