Individual
KOUSTA ISSA FOTEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18450 HIGHWAY 59 N, HUMBLE, TX 77338-4404
(281) 446-6656
(281) 446-6657
Mailing address
18450 HIGHWAY 59 N, HUMBLE, TX 77338-4404
(281) 446-6656
(281) 446-6657
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
04/28/2025
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