FUSTOK COSMETIC AND RECONSTRUCTIVE SURGERY PA
NPI 1720569817
Surgery - Plastic and Reconstructive Surgery in Houston, TX

Q: What is Fustok Cosmetic And Reconstructive Surgery PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since August 27, 2018

333 WEST LOOP N STE 410, HOUSTON, TX 77024(713) 621-2950(713) 589-2011 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2024, Oct 8, 2018, Aug 27, 2018 (3 updates tracked since 2018).

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About Fustok Cosmetic And Reconstructive Surgery Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FUSTOK COSMETIC AND RECONSTRUCTIVE SURGERY PA (NPI 1720569817) is a healthcare organization registered as a plastic and reconstructive surgery in Houston, Texas and active in the NPI registry since August 2018. The organization lists Jenni Diaz, Medical Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1720569817

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NameFUSTOK COSMETIC AND RECONSTRUCTIVE SURGERY PA

Location Address333 WEST LOOP N STE 410Houston, TX 77024-7709

Mailing Address333 West Loop N Ste 410Houston, TX 77024-7709 · (713) 621-2950 · Fax (713) 589-2011

Phone(713) 621-2950

Fax(713) 589-2011

Organization SubpartNo

Authorized OfficialJenni DiazMedical Billing Manager · (713) 621-2950

Enumeration DateAugust 27, 2018

Last NPPES UpdateDecember 6, 20243 updates tracked since enumeration

NPPES CertifiedDecember 6, 2024

✔ NPI 1720569817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in TX · F4727

Definition

A surgeon who specializes in plastic and reconstructive surgery.

333 WEST LOOP N STE 410, Houston, TX 77024

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Other Identifiers 1

OtherF4727TX · State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fustok Cosmetic And Reconstructive Surgery PA's NPI number?

The NPI number for Fustok Cosmetic And Reconstructive Surgery PA is 1720569817. It was assigned to this organization in the NPPES registry on August 27, 2018.

Where is Fustok Cosmetic And Reconstructive Surgery PA located?

Fustok Cosmetic And Reconstructive Surgery PA is located at 333 West Loop N Ste 410, Houston, TX 77024. The listed phone number is (713) 621-2950.

What is Fustok Cosmetic And Reconstructive Surgery PA's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Fustok Cosmetic And Reconstructive Surgery PA was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.