Individual
KOUSTA ISSA FOTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M9283
TX
2086S0129X
Vascular Surgery Physician
Primary
M9283
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699979450
—
TX
05
—
317229801
—
TX
01
—
BP2-0019301
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
05/19/2026
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