FUSTOK & ASSOCIATES
Medical Practice at Farnham Park Dr, Houston, TX

License number
Texas F4727
Category
Medical Practice
Type
Plastic Surgery
Owner
Name: SUSIE SOLANJI
Title: AUTHORIZED REPRESENTATIVE
Phone: (713) 212-0135
Address
Address
6 Farnham Park Dr, Houston, TX 77024
National Provider ID: 1326365594
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FUSTOK & ASSOCIATES PA

6 Farnham Park Dr, Houston, TX 77024

Status:
Inactive
Registration:
Apr 22, 2010
State ID:
0801259496
Business type:
Professional Association
Agent:
Abdel K Fustok,6 Farnham Park, Houston, TX 77024 (Physical)
TIN:
32041702013

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