Individual
CHRISTIAN D PELUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
16811 SOUTHWEST FREEWAY, SUGAR LAND, TX 77479
(281) 690-4678
Mailing address
16811 SOUTHWEST FREEWAY, SUGAR LAND, TX 77479
(281) 690-4678
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA05622
TX
367A00000X
Advanced Practice Midwife
PA05622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208248909
—
TX
05
—
208248911
—
TX
01
—
8389NW
BLUE CROSS BLUE SHIELD
TX
01
—
8548NT
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/02/2006
Last updated
08/18/2016
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