Individual
KIM-LAN T. CZELUSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7200 CAMBRIDGE STREET, 10TH FLOOR, HOUSTON, TX 77030-4202
(713) 798-1750
(713) 798-4693
Mailing address
1977 BUTLER BLVD, STE 400, HOUSTON, TX 77030-4101
(713) 798-4872
(713) 798-1479
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L5712
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TX
Enumeration date
10/17/2006
Last updated
04/23/2022
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