Fustok Cosmetic and Reconstructive Surgery PA

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

F4727 Issued in TX

Legal business name

FUSTOK COSMETIC AND RECONSTRUCTIVE SURGERY PA

Practice address

333 West Loop N Ste 410
Houston, TX 77024-7709

Phone

(713) 621-2950

Fax

(713) 589-2011

NPI assigned

Aug 27, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jenni Diaz

Title

Medical Billing Manager

Phone

(713) 621-2950

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdel Kader Fustok, MD

  • Plastic Surgery Physician
  • Bellaire, TX
  • NPI 1922150705

  Multi-Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1720569817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WEST LOOP N STE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770247709",
            "telephone_number": "713-621-2950",
            "fax_number": "713-589-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 WEST LOOP N STE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770247709",
            "telephone_number": "713-621-2950",
            "fax_number": "713-589-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSTOK COSMETIC AND RECONSTRUCTIVE SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JENNI",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "713-621-2950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "F4727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "F4727",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fusion One Inc
• Fusionrx, LLC
• Lisa A. Fuson, RN, ANP
• Fusou EMS Inc
• Fustok & Associates
• Nerville Pis-an Futalan, AGACNP-BC
• Rachel Kramer Futrell, PA-C
• Future Care & Wellness Inc
• Future EMS, Inc.
• Future Focused Counseling Services Inc

• Plastic and Reconstructive Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.