Active NPI
Abdel K. Fustok, MD PA
- Specialist
- Houston, TX
National Provider Identifier
1962750463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- F4727
- 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
- Organization subpart
- No
NPPES NPI Registry
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.
- Title
- President
- Phone
- (713) 621-2950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
4126 Southwest Fwy
Ste 1120
Houston, TX 77027
Phone (713) 621-2558
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.