Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fustok Cosmetic and Reconstructive Surgery PA

Organization Plastic and Reconstructive Surgery Physician · NPI 1720569817

Fustok Cosmetic and Reconstructive Surgery PA provides Plastic and Reconstructive Surgery Physician services in Houston, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

333 W Loop N Ste 410
Houston, TX 77024-7709
Phone: (713) 621-2950
Fax: (713) 589-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence F4727 (TX)

Record details

NPI number1720569817
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenni Diaz — Medical Billing Manager · (713) 621-2950
NPI enumeratedAugust 27, 2018
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address333 West Loop N Ste 410, Houston, TX 77024-7709

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