Organization Active NPI

Abdel K. Fustok, MD PA

  • Specialist
  • Houston, TX
National Provider Identifier
1962750463
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F4727 Issued in TX
Legal business name
ABDEL K. FUSTOK, MD PA
Practice address
4140 Southwest Fwy Ste 510
Houston, TX 77027-7319
Phone
(713) 621-2950
Fax
(713) 621-2139
NPI assigned
Aug 15, 2012
Last updated
Aug 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Abdel Kader Fustok, M.D.NPI 1922150705
Title
President
Phone
(713) 621-2950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X F4727 TX Primary

Addresses

Primary practice location

4140 Southwest Fwy Ste 510
Houston, TX 77027-7319

Mailing address

4140 Southwest Fwy Ste 510
Houston, TX 77027-7319
Phone (713) 621-2950

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1962750463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 SOUTHWEST FWY STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277319",
            "telephone_number": "713-621-2950",
            "fax_number": "713-621-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 SOUTHWEST FWY STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277319",
            "telephone_number": "713-621-2950",
            "fax_number": "713-621-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDEL K. FUSTOK, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "FUSTOK",
        "authorized_official_first_name": "ABDEL",
        "authorized_official_middle_name": "KADER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-621-2950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F4727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.